CDISC QRS Controlled Terminology

CDISC QRS Controlled Terminology, 2015-09-25

C118971	Category of Clinical Classification
C115304	Category of Functional Test
C100129	Category of Questionnaire
C120985	CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code
C120984	CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name
C120989	CC-Child-Pugh Clinical Classification Test Code
C120988	CC-Child-Pugh Clinical Classification Test Name
C119076	CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code
C119075	CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name
C119074	CC-Coronary Thrombus TIMI Grade Clinical Classification Test Code
C119073	CC-Coronary Thrombus TIMI Grade Clinical Classification Test Name
C120991	CC-Model for End Stage Liver Disease Clinical Classification Test Code
C120990	CC-Model for End Stage Liver Disease Clinical Classification Test Name
C120993	CC-Negative Symptom Assessment-16 Clinical Classification Test Code
C120992	CC-Negative Symptom Assessment-16 Clinical Classification Test Name
C119080	CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code
C119079	CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name
C120987	CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code
C120986	CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name
C115388	FT-6 Minute Walk Functional Test Test Code
C115387	FT-6 Minute Walk Functional Test Test Name
C120983	FT-Brief Assessment of Cognition in Schizophrenia Test Code
C120982	FT-Brief Assessment of Cognition in Schizophrenia Test Name
C115390	FT-Hauser Ambulation Index Functional Test Test Code
C115389	FT-Hauser Ambulation Index Functional Test Test Name
C115392	FT-Nine-Hole Peg Functional Test Test Code
C115391	FT-Nine-Hole Peg Functional Test Test Name
C115394	FT-Paced Auditory Serial Addition Functional Test Test Code
C115393	FT-Paced Auditory Serial Addition Functional Test Test Name
C123655	FT-Rey Auditory Verbal Learning Functional Test Test Code
C123654	FT-Rey Auditory Verbal Learning Functional Test Test Name
C115396	FT-Symbol Digit Modalities Functional Test Test Code
C115395	FT-Symbol Digit Modalities Functional Test Test Name
C115398	FT-Timed 25-Foot Walk Functional Test Test Code
C115397	FT-Timed 25-Foot Walk Functional Test Test Name
C115400	FT-Timed Up and Go Functional Test Test Code
C115399	FT-Timed Up and Go Functional Test Test Name
C101805	QS-Abnormal Involuntary Movement Scale Test Code
C101806	QS-Abnormal Involuntary Movement Scale Test Name
C101807	QS-ADNI AVLT Test Code
C101808	QS-ADNI AVLT Test Name
C112435	QS-Airway Questionnaire 20 Test Code
C112434	QS-Airway Questionnaire 20 Test Name
C119062	QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code
C119061	QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name
C119060	QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code
C119059	QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name
C100132	QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code
C100131	QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name
C106651	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
C106650	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
C105140	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
C105139	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
C106653	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
C106652	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
C103459	QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
C103458	QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
C101809	QS-Barnes Akathisia Rating Scale Test Code
C101810	QS-Barnes Akathisia Rating Scale Test Name
C106655	QS-Baseline Dyspnea Index Questionnaire Test Code
C106654	QS-Baseline Dyspnea Index Questionnaire Test Name
C113852	QS-Bladder Control Scale Test Code
C113851	QS-Bladder Control Scale Test Name
C113846	QS-Borg CR10 Scale Test Code
C113845	QS-Borg CR10 Scale Test Name
C113854	QS-Bowel Control Scale Test Code
C113853	QS-Bowel Control Scale Test Name
C100164	QS-Brief Pain Inventory Short Form Test Code
C100163	QS-Brief Pain Inventory Short Form Test Name
C100162	QS-Brief Pain Inventory Test Code
C100161	QS-Brief Pain Inventory Test Name
C100134	QS-Brief Psychiatric Rating Scale-A Test Code
C100133	QS-Brief Psychiatric Rating Scale-A Test Name
C120979	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code
C120978	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name
C120981	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code
C120980	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name
C119066	QS-Clinical COPD Questionnaire 1 Week Version Test Code
C119065	QS-Clinical COPD Questionnaire 1 Week Version Test Name
C119064	QS-Clinical COPD Questionnaire 24 Hour Version Test Code
C119063	QS-Clinical COPD Questionnaire 24 Hour Version Test Name
C101811	QS-Clinical Dementia Rating Test Code
C101812	QS-Clinical Dementia Rating Test Name
C100150	QS-Clinical Global Impression Test Code
C100149	QS-Clinical Global Impression Test Name
C101813	QS-Clinical Opiate Withdrawal Scale Test Code
C101814	QS-Clinical Opiate Withdrawal Scale Test Name
C106659	QS-Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
C106658	QS-Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
C100168	QS-Columbia-Suicide Severity Rating Scale Baseline Test Code
C100167	QS-Columbia-Suicide Severity Rating Scale Baseline Test Name
C105132	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code
C105131	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name
C106661	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
C106660	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
C111336	QS-Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code
C111335	QS-Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name
C111338	QS-Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
C111337	QS-Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
C111340	QS-Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
C111339	QS-Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
C117989	QS-Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code
C117988	QS-Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name
C113848	QS-Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code
C113847	QS-Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name
C111342	QS-Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code
C111341	QS-Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name
C103461	QS-Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code
C103460	QS-Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name
C117987	QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code
C117986	QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name
C119068	QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code
C119067	QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name
C100158	QS-Current Opioid Misuse Measure Test Code
C100157	QS-Current Opioid Misuse Measure Test Name
C119070	QS-Dermatology Life Quality Index Questionnaire Test Code
C119069	QS-Dermatology Life Quality Index Questionnaire Test Name
C105130	QS-Disability Assessment for Dementia Questionnaire Test Code
C105129	QS-Disability Assessment for Dementia Questionnaire Test Name
C115402	QS-Disability Rating Scale Questionnaire Test Code
C115401	QS-Disability Rating Scale Questionnaire Test Name
C112437	QS-Disease Steps Questionnaire Test Code
C112436	QS-Disease Steps Questionnaire Test Name
C101815	QS-Eastern Cooperative Oncology Group Performance Status Test Code
C101816	QS-Eastern Cooperative Oncology Group Performance Status Test Name
C103463	QS-Epworth Sleepiness Scale Questionnaire Test Code
C103462	QS-Epworth Sleepiness Scale Questionnaire Test Name
C101817	QS-European Quality of Life Five Dimension Five Level Scale Test Code
C101818	QS-European Quality of Life Five Dimension Five Level Scale Test Name
C100136	QS-European Quality of Life Five Dimension Three Level Scale Test Code
C100135	QS-European Quality of Life Five Dimension Three Level Scale Test Name
C123653	QS-Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Test Code
C123652	QS-Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Test Name
C115404	QS-Extended Glasgow Outcome Scale Questionnaire Test Code
C115403	QS-Extended Glasgow Outcome Scale Questionnaire Test Name
C117991	QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code
C117990	QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name
C100154	QS-Faces Pain Scale - Revised Test Code
C100153	QS-Faces Pain Scale - Revised Test Name
C113850	QS-Fatigue Severity Scale Test Code
C113849	QS-Fatigue Severity Scale Test Name
C111344	QS-Functional Activities Questionnaire Test Code
C111343	QS-Functional Activities Questionnaire Test Name
C111346	QS-Functional Activities Questionnaire-NACC Version Test Code
C111345	QS-Functional Activities Questionnaire-NACC Version Test Name
C112441	QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
C112440	QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
C105138	QS-General Clinical Global Impressions Questionnaire Test Code
C105137	QS-General Clinical Global Impressions Questionnaire Test Name
C103467	QS-Generalized Anxiety Disorder - 7 Questionnaire Test Code
C103466	QS-Generalized Anxiety Disorder - 7 Questionnaire Test Name
C106663	QS-Geriatric Depression Scale Questionnaire Test Code
C106662	QS-Geriatric Depression Scale Questionnaire Test Name
C106665	QS-Geriatric Depression Scale Short Form Questionnaire Test Code
C106664	QS-Geriatric Depression Scale Short Form Questionnaire Test Name
C101819	QS-Hamilton Anxiety Rating Scale Questionnaire Test Code
C101820	QS-Hamilton Anxiety Rating Scale Questionnaire Test Name
C100138	QS-Hamilton Depression Rating Scale - 17 Item Test Code
C100137	QS-Hamilton Depression Rating Scale - 17 Item Test Name
C101821	QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code
C101822	QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name
C106667	QS-Health Assessment Questionnaire Disability Index Test Code
C106666	QS-Health Assessment Questionnaire Disability Index Test Name
C103469	QS-Hospital Anxiety and Depression Scale Questionnaire Test Code
C103468	QS-Hospital Anxiety and Depression Scale Questionnaire Test Name
C113856	QS-Impact of Visual Impairment Scale Test Code
C113855	QS-Impact of Visual Impairment Scale Test Name
C103471	QS-International Index of Erectile Function Questionnaire Test Code
C103470	QS-International Index of Erectile Function Questionnaire Test Name
C100170	QS-Karnofsky Performance Status Scale Test Code
C100169	QS-Karnofsky Performance Status Scale Test Name
C112439	QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code
C112438	QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name
C112443	QS-Kurtzke Functional Systems Scores Questionnaire Test Code
C112442	QS-Kurtzke Functional Systems Scores Questionnaire Test Name
C115406	QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code
C115405	QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name
C100152	QS-Michigan Neuropathy Screening Instrument Test Code
C100151	QS-Michigan Neuropathy Screening Instrument Test Name
C113858	QS-Modified Fatigue Impact Scale Test Code
C113857	QS-Modified Fatigue Impact Scale Test Name
C112445	QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code
C112444	QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name
C106669	QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code
C106668	QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name
C111348	QS-Modified Rankin Scale Questionnaire Test Code
C111347	QS-Modified Rankin Scale Questionnaire Test Name
C100140	QS-Movement Disorder Society UPDRS Test Code
C100139	QS-Movement Disorder Society UPDRS Test Name
C113860	QS-Multiple Sclerosis Quality of Life-54 Instrument Test Code
C113859	QS-Multiple Sclerosis Quality of Life-54 Instrument Test Name
C112453	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code
C112452	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name
C112455	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code
C112454	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name
C103473	QS-Neuropathic Pain Scale Questionnaire Test Code
C103472	QS-Neuropathic Pain Scale Questionnaire Test Name
C100144	QS-Neuropsychiatric Inventory Test Code
C100143	QS-Neuropsychiatric Inventory Test Name
C105134	QS-Pain Intensity Questionnaire Test Code
C105133	QS-Pain Intensity Questionnaire Test Name
C105136	QS-Pain Relief Questionnaire Test Code
C105135	QS-Pain Relief Questionnaire Test Name
C112447	QS-Patient Determined Disease Steps Questionnaire Test Code
C112446	QS-Patient Determined Disease Steps Questionnaire Test Name
C103483	QS-Patient Health Questionnaire - 15 Item Test Code
C103482	QS-Patient Health Questionnaire - 15 Item Test Name
C103481	QS-Patient Health Questionnaire - 9 Item Test Code
C103480	QS-Patient Health Questionnaire - 9 Item Test Name
C113862	QS-RAND 36-Item Health Survey 1.0 Test Code
C113861	QS-RAND 36-Item Health Survey 1.0 Test Name
C103465	QS-Revised Fibromyalgia Impact Questionnaire Test Code
C103464	QS-Revised Fibromyalgia Impact Questionnaire Test Name
C119072	QS-Rivermead Post Concussion Symptoms Questionnaire Test Code
C119071	QS-Rivermead Post Concussion Symptoms Questionnaire Test Name
C100166	QS-Roland Morris Disability Questionnaire Test Code
C100165	QS-Roland Morris Disability Questionnaire Test Name
C115408	QS-Satisfaction With Life Scale Questionnaire Test Code
C115407	QS-Satisfaction With Life Scale Questionnaire Test Name
C100160	QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code
C100159	QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name
C111350	QS-Sheehan Disability Scale Questionnaire Test Code
C111349	QS-Sheehan Disability Scale Questionnaire Test Name
C100156	QS-Short-Form McGill Pain Questionnaire-2 Test Code
C100155	QS-Short-Form McGill Pain Questionnaire-2 Test Name
C106671	QS-St. George's Respiratory Questionnaire for COPD Patients Test Code
C106670	QS-St. George's Respiratory Questionnaire for COPD Patients Test Name
C112449	QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code
C112448	QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name
C112451	QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code
C112450	QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name
C101828	QS-Subjective Opiate Withdrawal Scale Test Code
C101829	QS-Subjective Opiate Withdrawal Scale Test Name
C103485	QS-Symptom Impact Questionnaire Test Code
C103484	QS-Symptom Impact Questionnaire Test Name
C103479	QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code
C103478	QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name
C103477	QS-The Overactive Bladder Questionnaire Short Form Test Code
C103476	QS-The Overactive Bladder Questionnaire Short Form Test Name
C103475	QS-The Overactive Bladder Questionnaire Test Code
C103474	QS-The Overactive Bladder Questionnaire Test Name
C106657	QS-Transition Dyspnea Index Questionnaire Test Code
C106656	QS-Transition Dyspnea Index Questionnaire Test Name
C100148	QS-Unified Parkinson's Disease Rating Scale Test Code
C100147	QS-Unified Parkinson's Disease Rating Scale Test Name
C103489	QS-Urgency Perception Scale Questionnaire Test Code
C103488	QS-Urgency Perception Scale Questionnaire Test Name
C100176	QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code
C100175	QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name

Codelist Definitions

OID	Name (CDISC Submission Value)	DataType Extensible	NCI Code	CDISC Synonym	CDISC Definition	Preferred Term
	CDISC Submission Value [ODM:CodedValue]
CL.C118971.CCCAT	Category of Clinical Classification (CCCAT)	text Extensible: Yes	C118971	Category of Clinical Classification	A grouping of observations within the Clinical Classification domain.	CDISC Clinical Classification Category Terminology
	APACHE II		C121005	APCH1	Acute Physiology and Chronic Health Evaluation II (APACHE II) (Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine 1985; 13(10):818-29).	Acute Physiology and Chronic Health Evaluation II Clinical Classification
	BODE INDEX		C121006	BODE01	The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index (BODE Index) (Bartolome R. Celli, M.D., Claudia G. Cote, M.D., Jose M. Marin, M.D., Ciro Casanova, M.D., Maria Montes de Oca, M.D., Reina A. Mendez, M.D., Victor Pinto Plata, M.D., and Howard J. Cabral, Ph.D.; N Engl J Med 2004;350:1005-12).	The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification
	CHILD-PUGH CLASSIFICATION		C121007	CPS01	Child-Pugh Classification (Guidance for Industry Pharmacokinetics in Patients with Impaired Hepatic Function: Study Design, Data Analysis, and Impact on Dosing and Labeling. U.S. Department of Health and Human Services; Food and Drug Administration; Center for Drug Evaluation and Research (CDER); Center for Biologics Evaluation and Research (CBER). May 2003, Clinical Pharmacology. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM072123.pdf; http://www.halaven.com/sites/default/files/ChildPugh_FlashCard.pdf).	Child-Pugh Clinical Classification
	CORONARY ARTERY DISSECTION NHLBI GRADE		C119105	CADG01	Coronary Artery Dissection NHLBI Grade (Coronary Artery angiographic changes after PTCA: Manual of Operations NHBLI PTCA Registry 1985-6:9).	Coronary Artery Dissection NHLBI Grade Clinical Classification
	CORONARY THROMBUS TIMI GRADE		C119104	TIMG01	Coronary Thrombus TIMI Grade (TIMI Definitions for Commonly Used Terms in Clinical Trials. Available at http://www.timi.org/wp-content/uploads/2010/10/TIMI-Definitions.pdf. Accessed November 30, 2013).	Coronary Thrombus TIMI Grade Clinical Classification
	MELD		C121008	MELD01	Model for End Stage Liver Disease (MELD) (Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC (April 2000). A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. Hepatology 31 (4): 864-71).	Model for End Stage Liver Disease Clinical Classification
	NSA-16		C121009	NSA01	Negative Symptom Assessment-16 (NSA-16) (Version 2.0, Copyright 2006, Larry Alphs, MD, PhD, All Right Reserved).	Negative Symptom Assessment-16 Clinical Classification
	STENT THROMBOSIS CORONARY ARC GRADE		C119107	STCG01	Stent Thrombosis Coronary ARC Grade (Cutlip DE, Windecker S, Mehran R, et al. Clinical End Points in Coronary Stent Trials : A Case for Standardized Definitions. Circulation. 2007;115:2344-2351).	Stent Thrombosis Coronary ARC Grade Clinical Classification
Back to top
CL.C115304.FTCAT	Category of Functional Test (FTCAT)	text Extensible: Yes	C115304	Category of Functional Test	A grouping of observations within the Functional Test domain.	CDISC Functional Test Category Terminology
	AVLT-REY		C123668	AVL02	Auditory Verbal Learning Test (AVLT-Rey) (Modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964. Test-Retest Reliability of a New Form of Auditory Verbal Learning Test (AVLT); Archives of Clinical Neuropsycology, Vol. 9, No. 4, pp. 303-316, 1994. Performance of Healthy Subjects and Patients with Resection from the Anterior Temporal Lobe on Matched Tests of Verbal and Visuoperceptual Learning; Journal of Clinical and Experimental Neuropsychology 1996, Vol. 18, No. 3, pp. 416-430).	Rey Auditory Verbal Learning Functional Test
	BACS		C121004	BACS1	Brief Assessment of Cognition in Schizophrenia (BACS) (Richard Keefe, PhD, Copyright 1999 Duke University Medical Center, Licenses available through Neurocog Trials, Inc.).	Brief Assessment of Cognition in Schizophrenia Functional Test
	HAUSER AMBULATION INDEX		C115790	HAI01	Hauser Ambulation Index (AI) (Hauser SL, Dawson DM, Lehrich JR, Beal MF, Kevy SV, Propper RD, Mills JA, Weiner HL. Intensive immunosuppression in progressive multiple sclerosis. A randomized, three-arm study of high-dose intravenous cyclophosphamide, plasma exchange, and ACTH. N Engl J Med. 1983 Jan 27;308(4):173-80).	Hauser Ambulation Index Functional Test
	MOCA		C123667	MOCA01	Montreal Cognitive Assessment (MoCA) (Copyright Z. Nasreddine MD. Ziad S. Nasreddine, Natalie A. Phillips, Valerie Bedirian, Simon Charbonneau, Victor Whitehead, Isabelle Collin, Jeffrey L. Cummings and Howard Chertkow. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9).	Montreal Cognitive Assessment Functional Test
	NHPT		C115791	NHPT01	Nine-Hole Peg Test (NHPT) (Copyright 2001, National Multiple Sclerosis Society).	Nine-Hole Peg Functional Test
	PASAT		C115792	PASAT1	Paced Auditory Serial Addition Test (PASAT) (Copyright 2001, National Multiple Sclerosis Society).	Paced Auditory Serial Addition Functional Test
	SDMT		C115793	SDMT01	Symbol Digit Modalities Test (SDMT) (Copyright 1973 by Western Psychological Services).	Symbol Digit Modalities Functional Test
	SIX MINUTE WALK		C115789	SIXMW1	6 Minute Walk Test (6MWT) (Goldman MD, Marrie RA, Cohen JA. Evaluation of the six-minute walk in multiple sclerosis subjects and healthy controls. Multiple Sclerosis 2008; 14: 383-390).	6 Minute Walk Functional Test
	T25FW		C115794	T25FW1	Timed 25-Foot Walk (T25FW) (Copyright 2001, National Multiple Sclerosis Society).	Timed 25-Foot Walk Functional Test
	TUG		C115795	TUG01	Timed Up and Go (TUG) (Podsiadlo D, Richardson S. The Timed 'Up & Go': a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39:142-148).	Timed Up and Go Functional Test
Back to top
CL.C100129.QSCAT	Category of Questionnaire (QSCAT)	text Extensible: Yes	C100129	Category of Questionnaire	A grouping of observations within the Questionnaire domain.	CDISC Questionnaire Category Terminology
	ACQ		C122370	ACQ01	Asthma Control Questionnaire (ACQ) (The Asthma Control Questionnaire is copyrighted. It may not be changed, translated or sold [paper or software] without the permission of Elizabeth Juniper. Juniper EF, O'Byrne PM, Guyatt GH, Ferrie PJ, King DR. Development and validation of a questionnaire to measure asthma control. Eur Respir J 1999;14:902-907).	Asthma Control Questionnaire
	ACT		C123658	ACT01	Asthma Control Test (ACT) (Asthma Control Test copyright, QualityMetric Incorporated 2002, 2004. All Rights Reserved. Asthma Control Test is a trademark of QualityMetric Incorporated. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, Murray JJ, Pendergraft TB. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004 Jan;113(1):59-65).	Asthma Control Test Questionnaire
	ADAS-COG		C100762	ADC	The CDISC version of the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog CDISC Version) containing 15 summary-level tests. This version is based on combining the total pool of ADAS-Cog tests that were observed during a review of multiple case report forms administered in clinical trials of Alzheimer's disease, as well as the CRF administered in the Alzheimer's Disease Neuroimaging Initiative (ADNI) observational study. (Modified from Mohs RC, Rosen WG, Davis KL. The Alzheimer's disease assessment scale: an instrument for assessing treatment efficacy. Psychopharmacol Bull 1983;19(3):448-450. Rosen WG, Mohs RC, Davis KL. A new rating scale for Alzheimer's disease. Am J Psychiatry 1984;141(11):1356-1364. Mohs RC, Knopman D, Petersen RC et al. Development of cognitive instruments for use in clinical trials of antidementia drugs: additions to the Alzheimer's Disease Assessment Scale that broaden its scope. The Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord 1997;11 Suppl 2:S13-S21. Wouters H, van Gool WA, Schmand B, Lindeboom R. Revising the ADAS-cog for a more accurate assessment of cognitive impairment. Alzheimer Dis Assoc Disord 2008;22(3):236-244.).	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version Questionnaire
	ADCS-ADL		C105166	ADL01	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL) (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. "An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease." Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39).	Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory Questionnaire
	ADCS-ADL MCI		C106888	ADL03	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), MCI Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39).	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Mild Cognitive Impairment Questionnaire
	ADCS-ADL SEVERE		C106889	ADL02	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), Severe Dementia Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39).	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Questionnaire
	ADCS-CGIC		C103515	ACGC01	Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change (ADCS-CGIC) (Schneider LS, Olin JT, Doody RS, Clark CM, Morris JC, Reisberg B, Schmitt FA, Grundman M, Thomas RG, Ferris SH, and the Alzheimer's Disease Cooperative Study. Validity and Reliability of the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change. Alzheimer Disease and Associated Disorders. 1997; 11(2):S22-S32).	Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire
	ADHD-RS-IV HOME VERSION		C122371	ADHD01	ADHD Rating Scale-IV (ADHD-RS-IV) Home Version (Copyright 1998. DuPaul GJ, Power TJ, Anastopoulos AD, Reid R. ADHD Rating Scale-IV: Checklists, Norms, and Clinical Interpretation. New York: The Guilford Press; 1998).	ADHD Rating Scale-IV Home Version Questionnaire
	AIMS		C102111	AIMS01	Abnormal Involuntary Movement Scale (AIMS) (Guy W. Ed. ECDEU Assessment Manual for Psychopharmacology. Rockville MD: US Dept of Health, Education and Welfare. 1976, Publication No. (ADM) 76-338).	Abnormal Involuntary Movement Scale Questionnaire
	AQ20		C112518	AQ01	Airway Questionnaire 20 (AQ20) (Barley EA, Quirk FH, Jones PW. Asthma health status in clinical practice: validity of a new short and simple instrument. Respir Med 1998; 92:1207-14. Copyright Reserved P.W. Jones, PhD FRCP).	Airway Questionnaire 20
	AQLQ		C122372	AQLQ01	Asthma Quality of Life Questionnaire (AQLQ) (The AQLQ is copyrighted. It may not be altered, sold [paper or electronic], translated or adapted for another medium without the permission of Elizabeth Juniper. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health-related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 1992; 47:76-83).	Asthma Quality of Life Questionnaire
	AUDIT-C		C119098	ADTC01	Alcohol Use Disorder Identification Test-Consumption Questions (AUDIT-C) (Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA; for the Ambulatory Care Quality Improvement Project (ACQUIP). The AUDIT Alcohol Consumption Questions (AUDIT-C) An Effective Brief Screening Test for Problem Drinking. Arch Intern Med. Sep 14 1998;158:1789-1795).	Alcohol Use Disorder Identification Test Alcohol Consumption Questions Questionnaire
	AUDIT-SR		C119097	ADT01	Alcohol Use Disorder Identification Test: Self-Report Version (AUDIT) (Saunders JB, Aasland, OG, Babor, TF, De La Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with harmful Alcohol Consumption-II. Addiction (1993) 88:791-804).	Alcohol Use Disorder Identification Test Self-Report Version Questionnaire
	AVLT		C102112	AVL01	The Alzheimer's Disease Neuroimaging Initiative's (ADNI) version of the Auditory Verbal Learning Test (AVLT Version A) modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964.	Alzheimer's Disease Neuroimaging Initiative Auditory Verbal Learning Test Questionnaire
	BARS		C102113	BARS01	Barnes Akathisia Rating Scale (BARS) (Barnes TR: A Rating Scale for Drug-Induced Akathisia. British Journal of Psychiatry 154:672-676, 1989).	Barnes Akathisia Rating Scale Questionnaire
	BDI		C106693	BDI01	Baseline Dyspnea Index (BDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758).	Baseline Dyspnea Index Questionnaire
	BLCS		C113874	BLCS01	Bladder Control Scale (BLCS) (1997 by the National Multiple Sclerosis Society. All rights reserved).	Bladder Control Scale Questionnaire
	BORG CR10		C113872	BCR101	Borg CR10 Scale (BORG CR10) (Borg CR10 Scale. Copyright Gunnar Borg, 1981, 1982, 1998).	Borg Category-Ratio 10 Scale Questionnaire
	BPI		C100759	BPI1	Brief Pain Inventory (BPI) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved).	Brief Pain Inventory Questionnaire
	BPI SHORT FORM		C100760	BPI2	Brief Pain Inventory Short Form (BPI2) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved).	Brief Pain Inventory Short Form Questionnaire
	BPRS-A		C100761	BPR01	Brief Psychiatric Rating Scale - Anchored (BPRS-A) (Woerner MB, Mannuzza S, and Kane JM. Anchoring the BPRS: An Aid to Improved Reliability. Psychopharmacology Bulletin 1988; 24(1):112-117).	Brief Psychiatric Rating Scale A Questionnaire
	BSI-18		C43524	BSI181	Brief Symptom Inventory-18 (BSI-18) (Leonard R. Derogatis. Brief Symptom Inventory (BSI)-18: Administration, scoring and procedures manual. Minneapolis 2001: NCS Pearson, Inc).	Brief Symptom Inventory 18
	BWCS		C113875	BWCS01	Bowel Control Scale (BWCS) (1997 by the National Multiple Sclerosis Society. All rights reserved).	Bowel Control Scale Questionnaire
	C-SSRS ALREADY ENROLLED SUBJECTS		C106695	CSS05	Columbia-Suicide Severity Rating Scale (C-SSRS) Already Enrolled Subjects Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire
	C-SSRS BASELINE		C100765	CSS01	Columbia-Suicide 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-Suicide Severity Rating Scale Baseline Questionnaire
	C-SSRS BASELINE/SCREENING VERSION		C106696	CSS04	Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline/Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire
	C-SSRS BASELINE/SCREENING VERSION PHASE 1 STUDY		C105164	CSS03	Columbia-Suicide 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-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study 1/14/09 Questionnaire
	C-SSRS CHILDREN'S BASELINE		C111377	CSS06	Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Baseline Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire
	C-SSRS CHILDREN'S BASELINE/SCREENING		C111378	CSS07	Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Baseline/Screening Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire
	C-SSRS CHILDREN'S SINCE LAST VISIT		C111379	CSS08	Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Since Last Visit Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire
	C-SSRS LIFETIME/RECENT VERSION		C117996	CSS11	Columbia-Suicide Severity Rating Scale (C-SSRS) Lifetime/Recent Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire
	C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT		C113873	CSS10	Columbia-Suicide 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 PEDIATRIC/COGNITIVELY IMPAIRED-LIFETIME RECENT-CLINICAL		C123661	CSS12	Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired - Lifetime Recent - Clinical 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 - Clinical Questionnaire
	C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED-SINCE LAST VISIT-CLINICAL		C123662	CSS13	Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired - Since Last Visit - Clinical 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 - Since Last Visit - Clinical Questionnaire
	C-SSRS SCREENING		C111380	CSS09	Columbia-Suicide Severity Rating Scale (C-SSRS) Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).	Columbia-Suicide Severity Rating Scale Screening Questionnaire
	C-SSRS SINCE LAST VISIT		C103516	CSS02	Columbia-Suicide 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-Suicide Severity Rating Scale Since Last Visit Questionnaire
	CCQ 1 WEEK VERSION		C119100	CCQ02	Clinical COPD Questionnaire (CCQ) 1 Week Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.).	Clinical COPD Questionnaire 1 Week Version
	CCQ 24 HOUR VERSION		C119099	CCQ01	Clinical COPD Questionnaire (CCQ) 24 Hour Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.).	Clinical COPD Questionnaire 24 Hour Version
	CDLQ		C119092	CDLQ1	Children's Dermatology Life Quality Index (CDLQI) (Copyright of M.S. Lewis-Jones, A.Y. Finlay, May 1993, this must not be copied without the permission of the authors).	Children's Dermatology Life Quality Index Questionnaire
	CDR		C102114	CDR01	Clinical Dementia Rating (CDR) (Morris, JC. Clinical Dementia Rating: A reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. International Psychogeriatrics 1997: 9, Suppl. 1, 173-176).	Clinical Dementia Rating Questionnaire
	CGI		C100763	CGI01	Clinical Global Impression (CGI) (Guy W: ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976).	Clinical Global Impression Questionnaire
	CHART-SF INTERVIEW VERSION		C117995	CHSF1	Craig Handicap Assessment and Reporting Technique - Short Form Interview Version (CHART-SF INTERVIEW VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526).	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version Questionnaire
	CHART-SF PAPER VERSION		C119101	CHSF2	Craig Handicap Assessment and Reporting Technique - Short Form Paper Version (CHART-SF PAPER VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526).	Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire
	COMM		C100764	COMM1	Current Opioid Misuse Measure (COMM) (copyright 2010 Inflexxion, Inc., All rights reserved).	Current Opioid Misuse Measure Questionnaire
	COWS		C102115	COWS1	The Clinical Opiate Withdrawal Scale (COWS) (Wesson DR and Ling W. The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs 2003;35(2):253-259).	Clinical Opiate Withdrawal Scale Questionnaire
	CRQ-SAS FIRST ADMINISTRATION VERSION		C121002	CRQ01	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University).	Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire
	CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION		C121003	CRQ02	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University).	Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire
	DAD		C105165	DAD01	Disability Assessment for Dementia (DAD) (copyright 1994 by L. Gauthier I. Gelinas. All rights reserved.).	Disability Assessment for Dementia Questionnaire
	DISEASE STEPS		C112519	DS01	Disease Steps (DS) (Hohol MJ, Orav EJ, Weiner HL. Disease steps in multiple sclerosis: a simple approach to evaluate disease progression. Neurology. 1995 Feb;45(2):251-5).	Disease Steps Questionnaire
	DLQI		C119102	DLQI1	Dermatology Life Quality Index (DLQI) (Copyright Dermatology Life Quality Index. A Y Finlay, G K Khan, April 1992. www.dermatology.org.uk. This must not be copied without the permission of the authors).	Dermatology Life Quality Index Questionnaire
	DRS		C115796	DRS01	Disability Rating Scale (DRS) (Rappaport et al. (1982) Disability Rating Scale for Severe Head Trauma Patients: Coma to Community. Archives of Physical Medicine and Rehabilitation, 63:118-123).	Disability Rating Scale Questionnaire
	ECOG		C102116	ECOG1	Eastern Cooperative Oncology Group (ECOG) Performance Status (Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982 Dec;5(6):649-55).	Eastern Cooperative Oncology Group Performance Status Questionnaire
	EDSS		C112520	EDSS01	Kurtzke Expanded Disability Status Scale (EDSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52).	Kurtzke Expanded Disability Status Scale Questionnaire
	EQ-5D-3L		C66957	EQ5D01	European Quality of Life Five Dimension Three Level Scale (EQ-5D-3L) (Copyright 1990 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group).	European Quality of Life Five Dimension Three Level Questionnaire
	EQ-5D-5L		C102117	EQ5D02	European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) (Copyright 2009 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group).	European Quality of Life Five Dimension Five Level Scale Questionnaire
	ESRSA		C117997	ESRSA1	Extrapyramidal Symptom Rating Scale-Abbreviated (ESRS-A) (Copyright 2006 Larry Alphs, MD, PhD, Guy Chouinard, MD, All Rights Reserved).	Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire
	ESS		C103517	ESS01	Epworth Sleepiness Scale (ESS) (copyright Murray W. Johns, 1990-1997. All rights reserved.).	Epworth Sleepiness Scale Questionnaire
	EXACT		C123666	EXACT1	Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Patient-Reported Outcome (PRO) (Nancy K. Leidy, EXACT-PRO Initiative, Evidera, 7101 Wisconsin Avenue, Suite 1400, Bethesda, MD; EXACT copyright 2013, Evidera, Inc. All rights reserved). This also includes the subset EXACT-Respiratory Symptoms (E-RS) questions. http://www.exactproinitiative.com	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire
	FAMS		C112521	FAMS01	Functional Assessment of Multiple Sclerosis Version 4 (FAMS) (Cella et al. Validation of the Functional Assessment of Multiple Sclerosis quality of life instrument. NEUROLOGY 1996;47: 129-139). (Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).	Functional Assessment of Multiple Sclerosis Questionnaire
	FAQ		C111381	FAQ01	Functional Activities Questionnaire (FAQ) (Pfeiffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.).	Functional Activities Questionnaire
	FAQ-NACC		C111382	FAQ02	Functional Activities Questionnaire-NACC (FAQ-NACC) (Pfeffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). (Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force. John C. Morris, MD, Chair, and the National Alzheimer's Coordinating Center. U01 AG016976 - Walter A. Kukull, PhD, Director).	Functional Activities Questionnaire-NACC Version
	FIQR		C103518	FIQR01	Revised Fibromyalgia Impact Questionnaire (FIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.).	Revised Fibromyalgia Impact Questionnaire
	FLU-IIQ ONCE DAILY		C119093	FLUIQ1	Influenza Intensity and Impact Questionnaire (Flu-iiQ) Once Daily (Copyright RH Osborne 2006. No part of the Flu-iiQ may be copied or reproduced in any form without written permission from the author: measuredsolutions@bigpond.com).	Influenza Intensity and Impact Questionnaire Once Daily Version
	FLU-IIQ TWICE DAILY		C119094	FLUIQ2	Influenza Intensity and Impact Questionnaire (Flu-iiQ) Twice Daily (Copyright RH Osborne 2006. No part of the Flu-iiQ may be copied or reproduced in any form without written permission from the author: measuredsolutions@bigpond.com).	Influenza Intensity and Impact Questionnaire Twice Daily Version
	FPSR		C100766	FPSR1	Faces Pain Scale - Revised (FPS-R) (Hicks CL, von Baeyer CL, van Korlaar I, Goodenough B. Faces Pain Scale-Revised: Toward a Common Metric in Pediatric Pain Measurement. Pain 2001; 93:173-183).	Faces Pain Scale Revised Questionnaire
	FSS		C106621	FSS01	Fatigue Severity Scale (FSS) (Copyright Lauren B. Krupp).	Fatigue Severity Scale
	GAD-7		C103519	GAD01	Generalized Anxiety Disorder - 7 (GAD-7) (Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 2006; 166:1092-1097).	Generalized Anxiety Disorder - 7 Questionnaire
	GCGI		C105169	GCGI01	The General Clinical Global Impressions (GCGI v1) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1.	STANDARDS General Clinical Global Impressions Questionnaire
	GDS		C106697	GDS01	Geriatric Depression Scale (GDS) (Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatry Res. 1983;17(1):37-49).	Geriatric Depression Scale Questionnaire
	GDS SHORT FORM		C106698	GDS02	Geriatric Depression Scale Short Form (GDS Short Form) (Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986 June;5(1/2):165-173).	Geriatric Depression Scale Short Form Questionnaire
	GOSE		C115797	GOSE1	Extended Glasgow Outcome Scale (GOSE) (Wilson JT, Pettigrew LE, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for their use. Journal of Neurotrauma 1998;15:573-585).	Extended Glasgow Outcome Scale Questionnaire
	HADS		C103520	HADS01	Hospital Anxiety and Depression Scale (HADS) (copyright 1983, 1992, 1994 by R.P. Snaith and A.S. Zigmond. All rights reserved.).	Hospital Anxiety and Depression Scale Questionnaire
	HAEM-A-QOL		C122381	HAEM09	Hemophilia Quality of Life Questionnaire Adult Version (Haem-A-QoL) (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group; Von Mackensen S, Scalone L, Ravera S, Mantovani L, Gringeri A, The COCHE Study Group. Assessment of health-related quality of life in patients with Hemophilia with the newly developed Hemophilia-specific instrument (Haem-A-QoL). Value Health 2005; 8:A127).	Hemophilia Quality of Life Questionnaire Adult Version
	HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP I		C122373	HAEM01	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Children's Long Version Age Group I
	HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP II		C122374	HAEM02	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Children's Long Version Age Group II
	HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP III		C122375	HAEM03	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Children's Long Version Age Group III
	HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP I		C122376	HAEM04	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Children's Short Version Age Group I
	HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP II/III		C122377	HAEM05	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group II/III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Children's Short Version Age Group II/III
	HAEMO-QOL PARENT'S LONG VERSION AGE GROUP I		C122378	HAEM06	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group I
	HAEMO-QOL PARENT'S LONG VERSION AGE GROUP II		C122379	HAEM07	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group II
	HAEMO-QOL PARENT'S LONG VERSION AGE GROUP III		C122380	HAEM08	Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).	Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group III
	HAM-A		C102118	HAMA1	The Hamilton Anxiety Rating Scale (HAM-A) (Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32:50-55).	Hamilton Anxiety Rating Scale Questionnaire
	HAMD 17		C100767	HAMD1	The Hamilton Depression Rating Scale 17-Item (HAMD 17) (Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 1967; 6(4):278-96).	Hamilton Depression Rating Scale 17 Item Questionnaire
	HAMD 21		C102119	HAMD2	The Hamilton Depression Rating Scale 21-Item (HAMD 21) (Hedlund and Vieweg, The Hamilton rating scale for depression. Journal of Operational Psychiatry, 1979;10(2):149-165).	Hamilton Depression Rating Scale 21-Item Questionnaire
	HAQ-DI		C106699	HAQ01	Health Assessment Questionnaire Disability Index (HAQ-DI) (Fries JF. The assessment of disability: from first to future principles. Br J Rheumatol. 1983 Aug; 22(3 Suppl):48-58).	Health Assessment Questionnaire Disability Index Questionnaire
	IIEF		C103521	IIEF01	International Index of Erectile Function (IIEF) (Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, and Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 49(6): 822-830).	International Index of Erectile Function Questionnaire
	IVIS		C113876	IVIS01	Impact of Visual Impairment Scale (IVIS) (1997 by the National Multiple Sclerosis Society. All rights reserved).	Impact of Visual Impairment Scale Questionnaire
	KFSS		C112522	KFSS1	Kurtzke Functional Systems Scores (FSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52).	Kurtzke Functional Systems Scores Questionnaire
	KPS SCALE		C100768	KPSS	The Karnofsky Performance Status Scale (KPSS) (Karnofsky DA, Burchenal JH. (1949). "The Clinical Evaluation of Chemotherapeutic Agents in Cancer." In: MacLeod CM (Ed), Evaluation of Chemotherapeutic Agents. Columbia Univ Press. Page 196).	Karnofsky Performance Status Scale Questionnaire
	MADRS		C122382	MADRS1	Montgomery-Asberg Depression Rating Scale (MADRS) (Copyright Stuart Montgomery 1978, Measures of Depression, Fulcrum Press, London. Stuart A. Montgomery and Marie Asberg. A new depression scale designed to be sensitive to change. Br. J. Psychiat. (1979), 134:382-389).	Montgomery-Asberg Depression Rating Scale Questionnaire
	MDQ-T		C123660	MDQ01	Menstrual Distress Questionnaire Form-T (Today) (MDQ-T) (Copyright 1968, 1989, 1991, 2000, 2010 by Rudolf H. Moos. All Rights Reserved. Published by Mind Garden, Inc. Moos RH. The development of a menstrual distress questionnaire. Psychosom Med. 1968 Nov-Dec;30(6):853-67).	Menstrual Distress Questionnaire Form-T (Today)
	MDS-UPDRS		C100769	UPD2	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) (copyright 2008 Movement Disorder Society. All Rights Reserved).	Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire
	MFIS		C113877	MFIS01	Modified Fatigue Impact Scale (MFIS) (1997 by the National Multiple Sclerosis Society. All rights reserved).	Modified Fatigue Impact Scale Questionnaire
	MHIS-NACC		C112523	MHIS01	Modified Hachinski Ischemic Scale-NACC Version (MHIS-NACC) Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force (John C. Morris, MD, Chair) and the National Alzheimer's Coordinating Center (Walter A. Kukull, PhD, Director). This publication was funded by the National Institutes of Health through the National Institute on Aging (Cooperative Agreement U01 AG016976).	Modified Hachinski Ischemic Scale-NACC Version Questionnaire
	MMRC		C106700	MMRC01	Modified Medical Research Council dyspnea scale (MMRC) (Mahler DA, Wells CK. Evaluation of Clinical Methods for Rating Dyspnea. Chest 1988; 93:580-586).	Modified Medical Research Council Dyspnea Scale Questionnaire
	MMSE		C74982	MMS1	The Mini-Mental State Examination (MMSE) (Folstein MF, Folstein SE, McHugh PR. 'Mini-Mental State': A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98).	Mini-Mental Status Exam
	MNSI		C100771	MNSI1	Michigan Neuropathy Screening Instrument (MNSI) (copyright University of Michigan, 2000, All rights reserved).	Michigan Neuropathy Screening Instrument Questionnaire
	MPAI-4		C115798	MPAI1	The Mayo-Portland Adaptability Inventory-4 (MPAI-4) (Malec, J. (2005). The Mayo-Portland Adaptability Inventory-4. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/combi/mpai).	Mayo-Portland Adaptability Inventory-4 Questionnaire
	MRS		C111383	MRS01	Modified Rankin Scale (MRS) (Van Swieten J., Koudstaal P., Visser M., Schouten H., and Van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients, 1988. Stroke 19: 604-607).	Modified Rankin Scale Questionnaire
	MSIS-29 V1		C123664	MSIS01	Multiple Sclerosis Impact Scale version 1 (MSIS-29v1) (Copyright 2000 Neurological Outcome Measures Unit, Institute of Neurology, University College London, UK).	Multiple Sclerosis Impact Scale Version 1 Questionnaire
	MSIS-29 V2		C123665	MSIS02	Multiple Sclerosis Impact Scale version 2 (MSIS-29v2) (Copyright 2005 Neurological Outcome Measures Unit, Peninsula Medical School, Plymouth, UK).	Multiple Sclerosis Impact Scale Version 2 Questionnaire
	MSQOL-54		C113878	MSQL1	Multiple Sclerosis Quality of Life-54 Instrument (MSQOL-54) (Copyright 1995, University of California, Los Angeles).	Multiple Sclerosis Quality of Life-54 Instrument Questionnaire
	MSWS-12		C123663	MSWS01	12-Item Multiple Sclerosis Walking Scale (MSWS-12) (Copyright 2000 Neurological Outcome Measures Unit).	12-Item Multiple Sclerosis Walking Scale Questionnaire
	NPI		C100772	NPI1	Neuropsychiatric Inventory (NPI) (copyright JL Cummings, 1994, all rights reserved; permission for commercial use required; npiTEST.net).	Neuropsychiatric Inventory Questionnaire
	NPS		C103522	NPS01	Neuropathic Pain Scale (NPS) (copyright Brad Galer and Mark Jensen. All rights reserved.).	Neuropathic Pain Scale Questionnaire
	OAB-Q		C103523	OABQ01	The Overactive Bladder Questionnaire (OAB-q) (Coyne K, Revicki D, Hunt T, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res. Sep 2002; 11(6):563-574).	The Overactive Bladder Questionnaire
	OAB-Q SHORT FORM		C103524	OABQ02	The Overactive Bladder Questionnaire Short Form (OAB-q Short Form) (Karin S. Coyne, Christine L. Thompson, Jin-Shei Lai, and Chris C. Sexton. An Overactive Bladder Symptom and Health-Related Quality of Life Short-Form: Validation of the OAB-q SF. Neurourology and Urodynamics 34:255-263, 2015).	The Overactive Bladder Questionnaire Short Form
	OCI		C119095	OCI01	Ocular Comfort Index (OCI) (The copyright owner of the Ocular Comfort Index is Dr. Michael Edward Johnson. Michael E. Johnson and Paul J. Murphy. Measurement of Ocular Surface Irritation on a Linear Interval Scale with the Ocular Comfort Index. Investigative Ophthalmology and Visual Science, October 2007, Vol. 48, No.10).	Ocular Comfort Index Questionnaire
	ODI v2.1A		C103525	ODI01	The Oswestry Disability Index Version 2.1a (ODI v2.1A) (copyright 1980 Jeremy Fairbank. All Rights Reserved.).	The Oswestry Disability Index Version 2.1a Questionnaire
	PDDS		C112524	PDDS01	Patient Determined Disease Steps (PDDS) (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: A simple approach to evaluate disease progression. Neurology 1995; 45: 251-55). (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: a longitudinal study comparing disease steps and EDSS to evaluate disease progression. Multiple Sclerosis 1999; 5: 349-54). (Marrie RA and Goldman M. Validity of performance scales for disability assessment in multiple sclerosis. Multiple Sclerosis 2007; 13: 1176-1182). (The PDDS and/or PS are provided for use by the NARCOMS Registry: www.narcoms.org/pdds. NARCOMS is supported in part by the Consortium of Multiple Sclerosis Centers (CMSC) and the CMSC Foundation).	Patient Determined Disease Steps Questionnaire
	PDQUALIF		C100773	PDQ01	Parkinson's Disease Quality of Life Scale (PDQUALIF) (Welsh M, McDermott MP, Holloway RG, Plumb S, Pfeiffer R, Hubble J, and The Parkinson Study Group. Development and Testing of the Parkinson's Disease Quality of Life Scale. Movement Disorders, 2003, Vol. 18; 637-645).	Parkinson's Disease Quality of Life Scale Questionnaire
	PHQ-15		C103527	PHQ02	Patient Health Questionnaire - 15 (PHQ-15) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64:258-266).	Patient Health Questionnaire - 15 Item
	PHQ-9		C103526	PHQ01	Patient Health Questionnaire - 9 (PHQ-9) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16:606-613).	Patient Health Questionnaire - 9 Item
	PI		C105167	PI01	The Pain Intensity (PI) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1.	STANDARDS Pain Intensity Questionnaire
	PR		C105168	PR01	The Pain Relief (PR) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1.	STANDARDS Pain Relief Questionnaire
	PSQI		C103849	PSQI1	Pittsburgh Sleep Quality Index (PSQI) (Copyright 1989, University of Pittsburgh. Buysse,D.J., Reynolds,C.F., Monk,T.H., Berman,S.R., & Kupfer, D.J. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric practice and research. Psychiatry Research, 1989, 28(2):193-213).	Pittsburgh Sleep Quality Index
	RAND-36 V1.0		C113879	R3601	RAND 36-Item Health Survey 1.0 (RAND-36) (Copyright the RAND Corporation. Developed at RAND as part of the Medical Outcomes Study).	RAND 36-Item Health Survey 1.0 Questionnaire
	RDQ		C100774	RDQ01	Roland Morris Disability Questionnaire (RDQ) (Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983;8:141-144).	Roland Morris Disability Questionnaire
	RPQ		C119103	RPQ01	Rivermead Post Concussion Symptoms Questionnaire (RPQ) (King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. J Neurol. 1995;242:587-592).	Rivermead Post-Concussion Symptoms Questionnaire
	SDS		C111384	SDS01	Sheehan Disability Scale (Copyright 1983, 2010, 2011 David V. Sheehan. All rights reserved.).	Sheehan Disability Scale Questionnaire
	SF36 v1.0 ACUTE		C102120	SF362	The Short Form 36 Health Survey Acute, US Version 1.0 (SF36 v1.0 Acute) (copyright 1988, 2002 by Medical Outcomes Trust and Quality Metric Incorporated. All rights reserved).	Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire
	SF36 v1.0 STANDARD		C100775	SF361	The Short Form 36 Health Survey Standard, US Version 1.0 (SF36 v1.0 Standard) (copyright 1988, 2002 by Medical Outcomes Trust and Quality Metric Incorporated. All rights reserved).	Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire
	SF36 v2.0 ACUTE		C102121	SF364	The Short Form 36 Health Survey Acute, US Version 2.0 (SF36 v2.0 Acute) (copyright 1996, 2000 by Quality Metric Incorporated and Medical Outcomes Trust. All rights reserved).	Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire
	SF36 v2.0 STANDARD		C102122	SF363	The Short Form 36 Health Survey Standard, US Version 2.0 (SF36 v2.0 Standard) (copyright 1996, 2000 by Quality Metric Incorporated and Medical Outcomes Trust. All rights reserved).	Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire
	SGRQ PAST 3 MONTHS VERSION		C112525	SGRQ01	St. George's Respiratory Questionnaire (SGRQ) Past 3 Months Version (copyright P.W. Jones, St. George's University of London).	St. George's Respiratory Questionnaire Past 3 Months Version
	SGRQ PAST 4 WEEKS VERSION		C112526	SGRQ02	St. George's Respiratory Questionnaire (SGRQ) Past 4 Weeks Version (copyright P.W. Jones, St. George's University of London).	St. George's Respiratory Questionnaire Past 4 Weeks Version
	SGRQ-C		C106890	SGRQC1	St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C) (Jones PW, Quirk FH, Baveystock CM, and Littlejohns PA. Self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. Am Rev Respir Dis. 1992 Jun; 145(6):1321-7).	St. George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease Patients
	SHORT-FORM MPQ-2		C100776	SFMP2	Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) (Copyright R. Melzack and the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT), 2009, All Rights Reserved).	Short-Form McGill Pain Questionnaire-2
	SIQR		C103528	SIQR01	Symptom Impact Questionnaire (SIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.).	Symptom Impact Questionnaire
	SOAPP-R		C100777	SOAPR1	Screener and Opioid Assessment for Patients with Pain Revised (SOAPP-R) (copyright 2007 Inflexxion, Inc., All rights reserved).	Screener and Opioid Assessment for Patients with Pain Revised Questionnaire
	SOBDA		C123659	SOBDA1	Shortness of Breath with Daily Activities Questionnaire (SOBDA) (Wilcox TK, Chen WH, Howard KA, Wiklund I, Brooks J, Watkins ML, Cates CE, Tabberer MM, Crim C. Item selection, reliability and validity of the Shortness of Breath with Daily Activities (SOBDA) questionnaire: a new outcome measure for evaluating dyspnea in chronic obstructive pulmonary disease. Health and Quality of Life Outcomes 2013 11:196).	Shortness of Breath with Daily Activities Questionnaire
	SOWS SHORT		C103529	SOWSB1	Short Opiate Withdrawal Scale (SOWS SHORT) (Gossop, M. The development of a short opiate withdrawal scale. Addictive Behaviors 1990; 15:487-490).	Short Opiate Withdrawal Scale Questionnaire
	SOWS SUBJECTIVE		C102123	SOWSA1	The Subjective Opiate Withdrawal Scale (SOWS) (Handelsman, L., Cochrane, K. J., Aronson, M. J. Ness, R., Rubinstein K.J., Kanof, P.D. (1987) Two New Rating Scales for Opiate Withdrawal. American Journal of Alcohol Abuse, 13, 293-308).	Subjective Opiate Withdrawal Scale Questionnaire
	SWLS		C115799	SWLS01	The Satisfaction With Life Scale (SWLS) (Diener, E., Emmons, R., Larsen, J., and Griffin, S. (1985). The Satisfaction With Life Scale. J Personality Assessment, 49(1): 71-75).	Satisfaction With Life Scale Questionnaire
	TDI		C106694	TDI01	Transition Dyspnea Index (TDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758).	Transition Dyspnea Index Questionnaire
	UPDRS		C100778	UPD1	Unified Parkinson's Disease Rating Scale (UPDRS) (Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson's Disease, Vol 2. Florham Park, NJ. Macmillan Health Care Information 1987, pp 153-163, 293-304).	Unified Parkinson's Disease Rating Scale Questionnaire
	UPS		C103530	UPS01	Urgency Perception Scale (UPS) (copyright Pfizer. All rights reserved.).	Urgency Perception Scale Questionnaire
	VFQ-25 INTERVIEWER ADMINISTERED		C112527	VFQ1	National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Interviewer-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute).	Visual Functioning Questionnaire 25-Interviewer Administered Format Version 2000
	VFQ-25 SELF ADMINISTERED		C112528	VFQ2	National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Self-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute).	Visual Functioning Questionnaire 25-Self Administered Format Version 2000
	WLQ		C119096	WLQ01	Work Limitations Questionnaire (WLQ) (copyright 1998. The Health Institute, Tufts Medical Center f/k/a New England Medical Center Hospitals, Inc.; Debra Lerner, Ph.D.; Benjamin Amick III, Ph.D.; and GlaxoWellcome, Inc. All Rights Reserved).	Work Limitations Questionnaire
	WOMAC LK 3.1 INDEX		C122384	WOMAC1	Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format (WOMAC LK 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved).	Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format Questionnaire
	WOMAC NRS 3.1 INDEX		C122385	WOMAC2	Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format (WOMAC NRS 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved).	Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format Questionnaire
	WOMAC VA 3.1 INDEX		C122386	WOMAC3	Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format (WOMAC VA 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved).	Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format Questionnaire
	WPAI-SHP		C100779	WPAI01	The Work Productivity and Activity Impairment - Specific Health Problems Questionnaire Version 2.0 (WPAI01) (http://www.reillyassociates.net/WPAI_SHP.html).	Work Productivity and Activity Impairment Specific Health Problems Version 2.0 Questionnaire
	YMRS		C102124	YMRS01	Young Mania Rating Scale (YMRS) (Young RC, Biggs JT, Ziegler VE et al: A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133: 429-435, 1978).	Young Mania Rating Scale Questionnaire
Back to top
CL.C120985.APACHE II TESTCD	CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code (APACHE II TESTCD)	text Extensible: No	C120985	CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code	Acute Physiology and Chronic Health Evaluation II test code.	CDISC Clinical Classification APACHE II Test Code Terminology
	APCH101		C121096	APCH1-Temperature - Rectal	Acute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C).	APACHE II - Temperature, Rectal
	APCH102		C121097	APCH1-Mean Arterial Pressure	Acute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mm Hg.	APACHE II - Mean Arterial Pressure
	APCH103		C121098	APCH1-Heart Rate	Acute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response).	APACHE II - Heart Rate
	APCH104		C121099	APCH1-Respiratory Rate	Acute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated).	APACHE II - Respiratory Rate
	APCH105A		C121100	APCH1-Oxygenation: A-aDO2	Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 greater than or equal to 0.5 record A-aDO2.	APACHE II - Oxygenation, A-aDO2
	APCH105B		C121101	APCH1-Oxygenation: PaO2	Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 less than 0.5 record only PaO2.	APACHE II - Oxygenation, PaO2
	APCH106A		C121102	APCH1-Arterial pH	Acute Physiology and Chronic Health Evaluation II - Arterial pH (preferred).	APACHE II - Arterial pH
	APCH106B		C121103	APCH1-Serum HCO3	Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs).	APACHE II - Serum HCO3
	APCH107		C121104	APCH1-Serum Sodium	Acute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L).	APACHE II - Serum Sodium
	APCH108		C121105	APCH1-Serum Potassium	Acute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L).	APACHE II - Serum Potassium
	APCH109		C121106	APCH1-Serum Creatinine	Acute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure).	APACHE II - Serum Creatinine
	APCH110		C121107	APCH1-Hematocrit	Acute Physiology and Chronic Health Evaluation II - Hematocrit (%).	APACHE II - Hematocrit
	APCH111		C121108	APCH1-White Blood Count	Acute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s).	APACHE II - White Blood Count
	APCH112		C121109	APCH1-15 Minus Glasgow Coma Score	Acute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS.	APACHE II - 15 Minus Glasgow Coma Score
	APCH113		C121110	APCH1-A: Total Acute Physiology Score	Acute Physiology and Chronic Health Evaluation II - A: Total acute physiology score.	APACHE II - A, Total Acute Physiology Score
	APCH114		C121111	APCH1-B: Age Points	Acute Physiology and Chronic Health Evaluation II - B: Age points (years).	APACHE II - B, Age Points
	APCH115		C121112	APCH1-C: Chronic Health Points	Acute Physiology and Chronic Health Evaluation II - C: Chronic health points.	APACHE II - C, Chronic Health Points
	APCH116		C121113	APCH1-Total APACHE II Score	Acute Physiology and Chronic Health Evaluation II - Total APACHE II score.	APACHE II - Total APACHE II Score
Back to top
CL.C120984.APACHE II TEST	CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name (APACHE II TEST)	text Extensible: No	C120984	CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name	Acute Physiology and Chronic Health Evaluation II test name.	CDISC Clinical Classification APACHE II Test Name Terminology
	APCH1-15 Minus Glasgow Coma Score		C121109	APCH1-15 Minus Glasgow Coma Score	Acute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS.	APACHE II - 15 Minus Glasgow Coma Score
	APCH1-A: Total Acute Physiology Score		C121110	APCH1-A: Total Acute Physiology Score	Acute Physiology and Chronic Health Evaluation II - A: Total acute physiology score.	APACHE II - A, Total Acute Physiology Score
	APCH1-Arterial pH		C121102	APCH1-Arterial pH	Acute Physiology and Chronic Health Evaluation II - Arterial pH (preferred).	APACHE II - Arterial pH
	APCH1-B: Age Points		C121111	APCH1-B: Age Points	Acute Physiology and Chronic Health Evaluation II - B: Age points (years).	APACHE II - B, Age Points
	APCH1-C: Chronic Health Points		C121112	APCH1-C: Chronic Health Points	Acute Physiology and Chronic Health Evaluation II - C: Chronic health points.	APACHE II - C, Chronic Health Points
	APCH1-Heart Rate		C121098	APCH1-Heart Rate	Acute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response).	APACHE II - Heart Rate
	APCH1-Hematocrit		C121107	APCH1-Hematocrit	Acute Physiology and Chronic Health Evaluation II - Hematocrit (%).	APACHE II - Hematocrit
	APCH1-Mean Arterial Pressure		C121097	APCH1-Mean Arterial Pressure	Acute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mm Hg.	APACHE II - Mean Arterial Pressure
	APCH1-Oxygenation: A-aDO2		C121100	APCH1-Oxygenation: A-aDO2	Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 greater than or equal to 0.5 record A-aDO2.	APACHE II - Oxygenation, A-aDO2
	APCH1-Oxygenation: PaO2		C121101	APCH1-Oxygenation: PaO2	Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 less than 0.5 record only PaO2.	APACHE II - Oxygenation, PaO2
	APCH1-Respiratory Rate		C121099	APCH1-Respiratory Rate	Acute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated).	APACHE II - Respiratory Rate
	APCH1-Serum Creatinine		C121106	APCH1-Serum Creatinine	Acute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure).	APACHE II - Serum Creatinine
	APCH1-Serum HCO3		C121103	APCH1-Serum HCO3	Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs).	APACHE II - Serum HCO3
	APCH1-Serum Potassium		C121105	APCH1-Serum Potassium	Acute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L).	APACHE II - Serum Potassium
	APCH1-Serum Sodium		C121104	APCH1-Serum Sodium	Acute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L).	APACHE II - Serum Sodium
	APCH1-Temperature - Rectal		C121096	APCH1-Temperature - Rectal	Acute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C).	APACHE II - Temperature, Rectal
	APCH1-Total APACHE II Score		C121113	APCH1-Total APACHE II Score	Acute Physiology and Chronic Health Evaluation II - Total APACHE II score.	APACHE II - Total APACHE II Score
	APCH1-White Blood Count		C121108	APCH1-White Blood Count	Acute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s).	APACHE II - White Blood Count
Back to top
CL.C120989.CHILD-PUGH CLASSIFICATION TESTCD	CC-Child-Pugh Clinical Classification Test Code (CHILD-PUGH CLASSIFICATION TESTCD)	text Extensible: No	C120989	CC-Child-Pugh Clinical Classification Test Code	Child-Pugh Classification test code.	CDISC Clinical Classification Child-Pugh Test Code Terminology
	CPS0101		C121068	CPS01-Encephalopathy Grade	Child-Pugh Classification - Encephalopathy grade.	Child-Pugh - Encephalopathy Grade
	CPS0102		C121069	CPS01-Ascites	Child-Pugh Classification - Ascites.	Child-Pugh - Ascites
	CPS0103		C121070	CPS01-Serum Bilirubin	Child-Pugh Classification - Serum bilirubin, mg/dL.	Child-Pugh - Serum Bilirubin
	CPS0104		C121071	CPS01-Serum Albumin	Child-Pugh Classification - Serum albumin, g/dL.	Child-Pugh - Serum Albumin
	CPS0105A		C121072	CPS01-PT, Sec Prolonged	Child-Pugh Classification - Prothrombin time, sec prolonged.	Child-Pugh - PT, Sec Prolonged
	CPS0105B		C121073	CPS01-PT, INR	Child-Pugh Classification - Prothrombin time, international normalized ratio (INR).	Child-Pugh - PT, INR
	CPS0106		C121074	CPS01-Total Score	Child-Pugh Classification - Child-Pugh total score.	Child-Pugh - Total Score
	CPS0107		C121075	CPS01-Grade	Child-Pugh Classification - Child-Pugh grade.	Child-Pugh - Grade
Back to top
CL.C120988.CHILD-PUGH CLASSIFICATION TEST	CC-Child-Pugh Clinical Classification Test Name (CHILD-PUGH CLASSIFICATION TEST)	text Extensible: No	C120988	CC-Child-Pugh Clinical Classification Test Name	Child-Pugh Classification test name.	CDISC Clinical Classification Child-Pugh Test Name Terminology
	CPS01-Ascites		C121069	CPS01-Ascites	Child-Pugh Classification - Ascites.	Child-Pugh - Ascites
	CPS01-Encephalopathy Grade		C121068	CPS01-Encephalopathy Grade	Child-Pugh Classification - Encephalopathy grade.	Child-Pugh - Encephalopathy Grade
	CPS01-Grade		C121075	CPS01-Grade	Child-Pugh Classification - Child-Pugh grade.	Child-Pugh - Grade
	CPS01-PT, INR		C121073	CPS01-PT, INR	Child-Pugh Classification - Prothrombin time, international normalized ratio (INR).	Child-Pugh - PT, INR
	CPS01-PT, Sec Prolonged		C121072	CPS01-PT, Sec Prolonged	Child-Pugh Classification - Prothrombin time, sec prolonged.	Child-Pugh - PT, Sec Prolonged
	CPS01-Serum Albumin		C121071	CPS01-Serum Albumin	Child-Pugh Classification - Serum albumin, g/dL.	Child-Pugh - Serum Albumin
	CPS01-Serum Bilirubin		C121070	CPS01-Serum Bilirubin	Child-Pugh Classification - Serum bilirubin, mg/dL.	Child-Pugh - Serum Bilirubin
	CPS01-Total Score		C121074	CPS01-Total Score	Child-Pugh Classification - Child-Pugh total score.	Child-Pugh - Total Score
Back to top
CL.C119076.NHLBI CAD Grade TESTCD	CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code (NHLBI CAD Grade TESTCD)	text Extensible: No	C119076	CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code	Coronary Artery Dissection NHLBI Grade test code.	CDISC Clinical Classification NHLBI CAD Grade Test Code Terminology
	CADG0101		C119196	CADG01-Coronary Dissection NHLBI Grade	Coronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association.	NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade
Back to top
CL.C119075.NHLBI CAD Grade TEST	CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name (NHLBI CAD Grade TEST)	text Extensible: No	C119075	CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name	Coronary Artery Dissection NHLBI Grade test name.	CDISC Clinical Classification NHLBI CAD Grade Test Name Terminology
	CADG01-Coronary Dissection NHLBI Grade		C119196	CADG01-Coronary Dissection NHLBI Grade	Coronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association.	NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade
Back to top
CL.C119074.TIMI Thrombus Grade TESTCD	CC-Coronary Thrombus TIMI Grade Clinical Classification Test Code (TIMI Thrombus Grade TESTCD)	text Extensible: No	C119074	CC-Coronary Thrombus TIMI Grade Clinical Classification Test Code	Coronary Thrombus TIMI Grade test code.	CDISC Clinical Classification TIMI Thrombus Grade Test Code Terminology
	TIMG0101		C119195	TIMG01-Coronary Thrombus TIMI Grade	Coronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group.	TIMI Thrombus Grade - Coronary Thrombus TIMI Grade
Back to top
CL.C119073.TIMI Thrombus Grade TEST	CC-Coronary Thrombus TIMI Grade Clinical Classification Test Name (TIMI Thrombus Grade TEST)	text Extensible: No	C119073	CC-Coronary Thrombus TIMI Grade Clinical Classification Test Name	Coronary Thrombus TIMI Grade test name.	CDISC Clinical Classification TIMI Thrombus Grade Test Name Terminology
	TIMG01-Coronary Thrombus TIMI Grade		C119195	TIMG01-Coronary Thrombus TIMI Grade	Coronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group.	TIMI Thrombus Grade - Coronary Thrombus TIMI Grade
Back to top
CL.C120991.MELD TESTCD	CC-Model for End Stage Liver Disease Clinical Classification Test Code (MELD TESTCD)	text Extensible: No	C120991	CC-Model for End Stage Liver Disease Clinical Classification Test Code	Model for End Stage Liver Disease test code.	CDISC Clinical Classification MELD Test Code Terminology
	MELD0101		C121076	MELD01-Score	Model for End Stage Liver Disease - MELD score.	MELD - Score
Back to top
CL.C120990.MELD TEST	CC-Model for End Stage Liver Disease Clinical Classification Test Name (MELD TEST)	text Extensible: No	C120990	CC-Model for End Stage Liver Disease Clinical Classification Test Name	Model for End Stage Liver Disease test name.	CDISC Clinical Classification MELD Test Name Terminology
	MELD01-Score		C121076	MELD01-Score	Model for End Stage Liver Disease - MELD score.	MELD - Score
Back to top
CL.C120993.NSA-16 TESTCD	CC-Negative Symptom Assessment-16 Clinical Classification Test Code (NSA-16 TESTCD)	text Extensible: No	C120993	CC-Negative Symptom Assessment-16 Clinical Classification Test Code	Negative Symptom Assessment-16 test code.	CDISC Clinical Classification NSA-16 Test Code Terminology
	NSA0101		C121077	NSA01-Prolonged Time to Respond	Negative Symptom Assessment-16 - Prolonged time to respond.	NSA-16 - Prolonged Time to Respond
	NSA0102		C121078	NSA01-Restricted Speech Quantity	Negative Symptom Assessment-16 - Restricted speech quantity.	NSA-16 - Restricted Speech Quantity
	NSA0103		C121079	NSA01-Impoverished Speech Content	Negative Symptom Assessment-16 - Impoverished speech content.	NSA-16 - Impoverished Speech Content
	NSA0104		C121080	NSA01-Inarticulate Speech	Negative Symptom Assessment-16 - Inarticulate speech.	NSA-16 - Inarticulate Speech
	NSA0105		C121081	NSA01-Emotion: Reduced Range	Negative Symptom Assessment-16 - Emotion: Reduced range.	NSA-16 - Emotion: Reduced Range
	NSA0106		C121082	NSA01-Affect Reduce Modulation Intensity	Negative Symptom Assessment-16 - Affect: Reduced modulation of intensity.	NSA-16 - Affect: Reduce Modulation Intensity
	NSA0107		C121083	NSA01-Affect: Reduced Display on Demand	Negative Symptom Assessment-16 - Affect: Reduced display on demand.	NSA-16 - Affect: Reduced Display on Demand
	NSA0108		C121084	NSA01-Reduced Social Drive	Negative Symptom Assessment-16 - Reduced social drive.	NSA-16 - Reduced Social Drive
	NSA0109		C121085	NSA01-Poor Rapport With Interviewer	Negative Symptom Assessment-16 - Poor rapport with interviewer.	NSA-16 - Poor Rapport With Interviewer
	NSA0110		C121086	NSA01-Interest Emotional/Phys Intimacy	Negative Symptom Assessment-16 - Interest in emotional and physical intimacy.	NSA-16 - Interest in Emotional and Physical Intimacy
	NSA0111		C121087	NSA01-Poor Grooming and Hygiene	Negative Symptom Assessment-16 - Poor grooming and hygiene.	NSA-16 - Poor Grooming and Hygiene
	NSA0112		C121088	NSA01-Reduced Sense of Purpose	Negative Symptom Assessment-16 - Reduced sense of purpose.	NSA-16 - Reduced Sense of Purpose
	NSA0113		C121089	NSA01-Reduced Interests	Negative Symptom Assessment-16 - Reduced interests.	NSA-16 - Reduced Interests
	NSA0114		C121090	NSA01-Reduced Daily Activity	Negative Symptom Assessment-16 - Reduced daily activity.	NSA-16 - Reduced Daily Activity
	NSA0115		C121091	NSA01-Reduced Expressive Gestures	Negative Symptom Assessment-16 - Reduced expressive gestures.	NSA-16 - Reduced Expressive Gestures
	NSA0116		C121092	NSA01-Slowed Movements	Negative Symptom Assessment-16 - Slowed movements.	NSA-16 - Slowed Movements
	NSA0117		C121093	NSA01-Global Negative Symptoms Rating	Negative Symptom Assessment-16 - Global negative symptoms rating.	NSA-16 - Global Negative Symptoms Rating
	NSA0118		C121094	NSA01-Global Neg Symptom Rating-Severity	Negative Symptom Assessment-16 - Global negative symptoms rating - severity.	NSA-16 - Global Negative Symptoms Rating-Severity
	NSA0119		C121095	NSA01-Global Level of Functioning	Negative Symptom Assessment-16 - Global level of functioning.	NSA-16 - Global Level of Functioning
Back to top
CL.C120992.NSA-16 TEST	CC-Negative Symptom Assessment-16 Clinical Classification Test Name (NSA-16 TEST)	text Extensible: No	C120992	CC-Negative Symptom Assessment-16 Clinical Classification Test Name	Negative Symptom Assessment-16 test name.	CDISC Clinical Classification NSA-16 Test Name Terminology
	NSA01-Affect Reduce Modulation Intensity		C121082	NSA01-Affect Reduce Modulation Intensity	Negative Symptom Assessment-16 - Affect: Reduced modulation of intensity.	NSA-16 - Affect: Reduce Modulation Intensity
	NSA01-Affect: Reduced Display on Demand		C121083	NSA01-Affect: Reduced Display on Demand	Negative Symptom Assessment-16 - Affect: Reduced display on demand.	NSA-16 - Affect: Reduced Display on Demand
	NSA01-Emotion: Reduced Range		C121081	NSA01-Emotion: Reduced Range	Negative Symptom Assessment-16 - Emotion: Reduced range.	NSA-16 - Emotion: Reduced Range
	NSA01-Global Level of Functioning		C121095	NSA01-Global Level of Functioning	Negative Symptom Assessment-16 - Global level of functioning.	NSA-16 - Global Level of Functioning
	NSA01-Global Neg Symptom Rating-Severity		C121094	NSA01-Global Neg Symptom Rating-Severity	Negative Symptom Assessment-16 - Global negative symptoms rating - severity.	NSA-16 - Global Negative Symptoms Rating-Severity
	NSA01-Global Negative Symptoms Rating		C121093	NSA01-Global Negative Symptoms Rating	Negative Symptom Assessment-16 - Global negative symptoms rating.	NSA-16 - Global Negative Symptoms Rating
	NSA01-Impoverished Speech Content		C121079	NSA01-Impoverished Speech Content	Negative Symptom Assessment-16 - Impoverished speech content.	NSA-16 - Impoverished Speech Content
	NSA01-Inarticulate Speech		C121080	NSA01-Inarticulate Speech	Negative Symptom Assessment-16 - Inarticulate speech.	NSA-16 - Inarticulate Speech
	NSA01-Interest Emotional/Phys Intimacy		C121086	NSA01-Interest Emotional/Phys Intimacy	Negative Symptom Assessment-16 - Interest in emotional and physical intimacy.	NSA-16 - Interest in Emotional and Physical Intimacy
	NSA01-Poor Grooming and Hygiene		C121087	NSA01-Poor Grooming and Hygiene	Negative Symptom Assessment-16 - Poor grooming and hygiene.	NSA-16 - Poor Grooming and Hygiene
	NSA01-Poor Rapport With Interviewer		C121085	NSA01-Poor Rapport With Interviewer	Negative Symptom Assessment-16 - Poor rapport with interviewer.	NSA-16 - Poor Rapport With Interviewer
	NSA01-Prolonged Time to Respond		C121077	NSA01-Prolonged Time to Respond	Negative Symptom Assessment-16 - Prolonged time to respond.	NSA-16 - Prolonged Time to Respond
	NSA01-Reduced Daily Activity		C121090	NSA01-Reduced Daily Activity	Negative Symptom Assessment-16 - Reduced daily activity.	NSA-16 - Reduced Daily Activity
	NSA01-Reduced Expressive Gestures		C121091	NSA01-Reduced Expressive Gestures	Negative Symptom Assessment-16 - Reduced expressive gestures.	NSA-16 - Reduced Expressive Gestures
	NSA01-Reduced Interests		C121089	NSA01-Reduced Interests	Negative Symptom Assessment-16 - Reduced interests.	NSA-16 - Reduced Interests
	NSA01-Reduced Sense of Purpose		C121088	NSA01-Reduced Sense of Purpose	Negative Symptom Assessment-16 - Reduced sense of purpose.	NSA-16 - Reduced Sense of Purpose
	NSA01-Reduced Social Drive		C121084	NSA01-Reduced Social Drive	Negative Symptom Assessment-16 - Reduced social drive.	NSA-16 - Reduced Social Drive
	NSA01-Restricted Speech Quantity		C121078	NSA01-Restricted Speech Quantity	Negative Symptom Assessment-16 - Restricted speech quantity.	NSA-16 - Restricted Speech Quantity
	NSA01-Slowed Movements		C121092	NSA01-Slowed Movements	Negative Symptom Assessment-16 - Slowed movements.	NSA-16 - Slowed Movements
Back to top
CL.C119080.ARC STC Grade TESTCD	CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code (ARC STC Grade TESTCD)	text Extensible: No	C119080	CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code	Stent Thrombosis Coronary ARC Grade test code.	CDISC Clinical Classification ARC STC Grade Test Code Terminology
	STCG0101		C119198	STCG01-STC ARC Grade	Stent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium.	ARC STC Grade - Stent Thrombosis Coronary ARC Grade
Back to top
CL.C119079.ARC STC Grade TEST	CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name (ARC STC Grade TEST)	text Extensible: No	C119079	CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name	Stent Thrombosis Coronary ARC Grade test name.	CDISC Clinical Classification ARC STC Grade Test Name Terminology
	STCG01-STC ARC Grade		C119198	STCG01-STC ARC Grade	Stent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium.	ARC STC Grade - Stent Thrombosis Coronary ARC Grade
Back to top
CL.C120987.BODE INDEX TESTCD	CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code (BODE INDEX TESTCD)	text Extensible: No	C120987	CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code	The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test code.	CDISC Clinical Classification BODE Index Test Code Terminology
	BODE0101		C121063	BODE01-Body-mass Index	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index.	BODE Index - Body-mass Index
	BODE0102		C121064	BODE01-FEV1 % Predicted	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted).	BODE Index - FEV1 Percent Predicted
	BODE0103		C121065	BODE01-MMRC Dyspnea Scale	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale.	BODE Index - MMRC Dyspnea Scale
	BODE0104		C121066	BODE01-Distance Walked in 6 Minutes	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter).	BODE Index - Distance Walked in 6 Minutes
	BODE0105		C121067	BODE01-BODE Score	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score.	BODE Index - Score
Back to top
CL.C120986.BODE INDEX TEST	CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name (BODE INDEX TEST)	text Extensible: No	C120986	CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name	The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test name.	CDISC Clinical Classification BODE Index Test Name Terminology
	BODE01-BODE Score		C121067	BODE01-BODE Score	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score.	BODE Index - Score
	BODE01-Body-mass Index		C121063	BODE01-Body-mass Index	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index.	BODE Index - Body-mass Index
	BODE01-Distance Walked in 6 Minutes		C121066	BODE01-Distance Walked in 6 Minutes	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter).	BODE Index - Distance Walked in 6 Minutes
	BODE01-FEV1 % Predicted		C121064	BODE01-FEV1 % Predicted	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted).	BODE Index - FEV1 Percent Predicted
	BODE01-MMRC Dyspnea Scale		C121065	BODE01-MMRC Dyspnea Scale	Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale.	BODE Index - MMRC Dyspnea Scale
Back to top
CL.C115388.6MWT TESTCD	FT-6 Minute Walk Functional Test Test Code (6MWT TESTCD)	text Extensible: No	C115388	FT-6 Minute Walk Functional Test Test Code	6 Minute Walk Test test code.	CDISC Functional Test 6MWT Test Code Terminology
	SIXMW101		C115800	SIXMW1-Distance at 1 Minute	6 Minute Walk Test - Distance at 1 minute.	6MWT - Distance at 1 Minute
	SIXMW102		C115801	SIXMW1-Distance at 2 Minutes	6 Minute Walk Test - Distance at 2 minutes.	6MWT - Distance at 2 Minutes
	SIXMW103		C115802	SIXMW1-Distance at 3 Minutes	6 Minute Walk Test - Distance at 3 minutes.	6MWT - Distance at 3 Minutes
	SIXMW104		C115803	SIXMW1-Distance at 4 Minutes	6 Minute Walk Test - Distance at 4 minutes.	6MWT - Distance at 4 Minutes
	SIXMW105		C115804	SIXMW1-Distance at 5 Minutes	6 Minute Walk Test - Distance at 5 minutes.	6MWT - Distance at 5 Minutes
	SIXMW106		C115805	SIXMW1-Distance at 6 Minutes	6 Minute Walk Test - Distance at 6 minutes.	6MWT - Distance at 6 Minutes
Back to top
CL.C115387.6MWT TEST	FT-6 Minute Walk Functional Test Test Name (6MWT TEST)	text Extensible: No	C115387	FT-6 Minute Walk Functional Test Test Name	6 Minute Walk Test test name.	CDISC Functional Test 6MWT Test Name Terminology
	SIXMW1-Distance at 1 Minute		C115800	SIXMW1-Distance at 1 Minute	6 Minute Walk Test - Distance at 1 minute.	6MWT - Distance at 1 Minute
	SIXMW1-Distance at 2 Minutes		C115801	SIXMW1-Distance at 2 Minutes	6 Minute Walk Test - Distance at 2 minutes.	6MWT - Distance at 2 Minutes
	SIXMW1-Distance at 3 Minutes		C115802	SIXMW1-Distance at 3 Minutes	6 Minute Walk Test - Distance at 3 minutes.	6MWT - Distance at 3 Minutes
	SIXMW1-Distance at 4 Minutes		C115803	SIXMW1-Distance at 4 Minutes	6 Minute Walk Test - Distance at 4 minutes.	6MWT - Distance at 4 Minutes
	SIXMW1-Distance at 5 Minutes		C115804	SIXMW1-Distance at 5 Minutes	6 Minute Walk Test - Distance at 5 minutes.	6MWT - Distance at 5 Minutes
	SIXMW1-Distance at 6 Minutes		C115805	SIXMW1-Distance at 6 Minutes	6 Minute Walk Test - Distance at 6 minutes.	6MWT - Distance at 6 Minutes
Back to top
CL.C120983.BACS TESTCD	FT-Brief Assessment of Cognition in Schizophrenia Test Code (BACS TESTCD)	text Extensible: No	C120983	FT-Brief Assessment of Cognition in Schizophrenia Test Code	Brief Assessment of Cognition in Schizophrenia test code.	CDISC Functional Test BACS Test Code Terminology
	BACS101		C121050	BACS1-Number of Items Recalled	Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial.	BACS - Number of Items Recalled
	BACS101A		C121051	BACS1-Number of Items Recalled Total	Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled.	BACS - Number of Items Recalled Total
	BACS102		C121052	BACS1-Number of Correct Sequences	Brief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences.	BACS - Number of Correct Sequences
	BACS103A		C121053	BACS1-Number of Tokens Left on the Table	Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table.	BACS - Number of Tokens Left on the Table
	BACS103B		C121054	BACS1-Total Number Tokens in Container	Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container.	BACS - Total Number Tokens in Container
	BACS103C		C121055	BACS1-Number Tokens Incorrectly Placed	Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container.	BACS - Number Tokens Incorrectly Placed
	BACS103D		C121056	BACS1-Number of Tokens Correctly Placed	Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed.	BACS - Number of Tokens Correctly Placed
	BACS104A		C121057	BACS1-Category Instances	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances.	BACS - Category Instances
	BACS104B		C121058	BACS1-Letter Fluency 1	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1.	BACS - Letter Fluency 1
	BACS104C		C121059	BACS1-Letter Fluency 2	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2.	BACS - Letter Fluency 2
	BACS104D		C121060	BACS-Verbal Fluency Total	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items.	BACS - Verbal Fluency Total
	BACS105		C121061	BACS-Symbol Coding Raw Score	Brief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score.	BACS - Symbol Coding Raw Score
	BACS106		C121062	BACS1-Tower of London Correct Responses	Brief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses.	BACS - Tower of London Correct Responses
Back to top
CL.C120982.BACS TEST	FT-Brief Assessment of Cognition in Schizophrenia Test Name (BACS TEST)	text Extensible: No	C120982	FT-Brief Assessment of Cognition in Schizophrenia Test Name	Brief Assessment of Cognition in Schizophrenia test name.	CDISC Functional Test BACS Test Name Terminology
	BACS-Symbol Coding Raw Score		C121061	BACS-Symbol Coding Raw Score	Brief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score.	BACS - Symbol Coding Raw Score
	BACS-Verbal Fluency Total		C121060	BACS-Verbal Fluency Total	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items.	BACS - Verbal Fluency Total
	BACS1-Category Instances		C121057	BACS1-Category Instances	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances.	BACS - Category Instances
	BACS1-Letter Fluency 1		C121058	BACS1-Letter Fluency 1	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1.	BACS - Letter Fluency 1
	BACS1-Letter Fluency 2		C121059	BACS1-Letter Fluency 2	Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2.	BACS - Letter Fluency 2
	BACS1-Number of Correct Sequences		C121052	BACS1-Number of Correct Sequences	Brief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences.	BACS - Number of Correct Sequences
	BACS1-Number of Items Recalled		C121050	BACS1-Number of Items Recalled	Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial.	BACS - Number of Items Recalled
	BACS1-Number of Items Recalled Total		C121051	BACS1-Number of Items Recalled Total	Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled.	BACS - Number of Items Recalled Total
	BACS1-Number of Tokens Correctly Placed		C121056	BACS1-Number of Tokens Correctly Placed	Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed.	BACS - Number of Tokens Correctly Placed
	BACS1-Number of Tokens Left on the Table		C121053	BACS1-Number of Tokens Left on the Table	Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table.	BACS - Number of Tokens Left on the Table
	BACS1-Number Tokens Incorrectly Placed		C121055	BACS1-Number Tokens Incorrectly Placed	Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container.	BACS - Number Tokens Incorrectly Placed
	BACS1-Total Number Tokens in Container		C121054	BACS1-Total Number Tokens in Container	Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container.	BACS - Total Number Tokens in Container
	BACS1-Tower of London Correct Responses		C121062	BACS1-Tower of London Correct Responses	Brief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses.	BACS - Tower of London Correct Responses
Back to top
CL.C115390.HAI TESTCD	FT-Hauser Ambulation Index Functional Test Test Code (HAI TESTCD)	text Extensible: No	C115390	FT-Hauser Ambulation Index Functional Test Test Code	Hauser Ambulation Index test code.	CDISC Functional Test HAI Test Code Terminology
	HAI0101		C115806	HAI01-Ambulation Index	Hauser Ambulation Index - Ambulation index.	HAI - Ambulation Index
Back to top
CL.C115389.HAI TEST	FT-Hauser Ambulation Index Functional Test Test Name (HAI TEST)	text Extensible: No	C115389	FT-Hauser Ambulation Index Functional Test Test Name	Hauser Ambulation Index test name.	CDISC Functional Test HAI Test Name Terminology
	HAI01-Ambulation Index		C115806	HAI01-Ambulation Index	Hauser Ambulation Index - Ambulation index.	HAI - Ambulation Index
Back to top
CL.C115392.NHPT TESTCD	FT-Nine-Hole Peg Functional Test Test Code (NHPT TESTCD)	text Extensible: No	C115392	FT-Nine-Hole Peg Functional Test Test Code	Nine-Hole Peg Test test code.	CDISC Functional Test NHPT Test Code Terminology
	NHPT0101		C115807	NHPT01-Time to Complete 9-Hole Peg Test	Nine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test.	NHPT - Time to Complete 9-Hole Peg Test
	NHPT0102		C115808	NHPT01-More Than Two Attempts	Nine-Hole Peg Test - Did it take more than two attempts to get two successful trials?	NHPT - More Than Two Attempts
Back to top
CL.C115391.NHPT TEST	FT-Nine-Hole Peg Functional Test Test Name (NHPT TEST)	text Extensible: No	C115391	FT-Nine-Hole Peg Functional Test Test Name	Nine-Hole Peg Test test name.	CDISC Functional Test NHPT Test Name Terminology
	NHPT01-More Than Two Attempts		C115808	NHPT01-More Than Two Attempts	Nine-Hole Peg Test - Did it take more than two attempts to get two successful trials?	NHPT - More Than Two Attempts
	NHPT01-Time to Complete 9-Hole Peg Test		C115807	NHPT01-Time to Complete 9-Hole Peg Test	Nine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test.	NHPT - Time to Complete 9-Hole Peg Test
Back to top
CL.C115394.PASAT TESTCD	FT-Paced Auditory Serial Addition Functional Test Test Code (PASAT TESTCD)	text Extensible: No	C115394	FT-Paced Auditory Serial Addition Functional Test Test Code	Paced Auditory Serial Addition Test test code.	CDISC Functional Test PASAT Test Code Terminology
	PASAT101		C115809	PASAT1-Total Correct	Paced Auditory Serial Addition Test - Total correct.	PASAT - Total Correct
	PASAT102		C115810	PASAT1-Percent Correct	Paced Auditory Serial Addition Test - Percent correct.	PASAT - Percent Correct
	PASAT103		C115811	PASAT1-More Than One Attempt	Paced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial?	PASAT - More Than One Attempt
	PASAT104		C115812	PASAT1-Total Correct in First Half	Paced Auditory Serial Addition Test - Total correct in first half.	PASAT - Total Correct in First Half
	PASAT105		C115813	PASAT1-Total Correct in Second Half	Paced Auditory Serial Addition Test - Total correct in second half.	PASAT - Total Correct in Second Half
	PASAT106		C115814	PASAT1-Total Commission Errors	Paced Auditory Serial Addition Test - Total commission errors.	PASAT - Total Commission Errors
	PASAT107		C115815	PASAT1-Total Omission Errors	Paced Auditory Serial Addition Test - Total omission errors.	PASAT - Total Omission Errors
Back to top
CL.C115393.PASAT TEST	FT-Paced Auditory Serial Addition Functional Test Test Name (PASAT TEST)	text Extensible: No	C115393	FT-Paced Auditory Serial Addition Functional Test Test Name	Paced Auditory Serial Addition Test test name.	CDISC Functional Test PASAT Test Name Terminology
	PASAT1-More Than One Attempt		C115811	PASAT1-More Than One Attempt	Paced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial?	PASAT - More Than One Attempt
	PASAT1-Percent Correct		C115810	PASAT1-Percent Correct	Paced Auditory Serial Addition Test - Percent correct.	PASAT - Percent Correct
	PASAT1-Total Commission Errors		C115814	PASAT1-Total Commission Errors	Paced Auditory Serial Addition Test - Total commission errors.	PASAT - Total Commission Errors
	PASAT1-Total Correct		C115809	PASAT1-Total Correct	Paced Auditory Serial Addition Test - Total correct.	PASAT - Total Correct
	PASAT1-Total Correct in First Half		C115812	PASAT1-Total Correct in First Half	Paced Auditory Serial Addition Test - Total correct in first half.	PASAT - Total Correct in First Half
	PASAT1-Total Correct in Second Half		C115813	PASAT1-Total Correct in Second Half	Paced Auditory Serial Addition Test - Total correct in second half.	PASAT - Total Correct in Second Half
	PASAT1-Total Omission Errors		C115815	PASAT1-Total Omission Errors	Paced Auditory Serial Addition Test - Total omission errors.	PASAT - Total Omission Errors
Back to top
CL.C123655.AVLT-REY TESTCD	FT-Rey Auditory Verbal Learning Functional Test Test Code (AVLT-REY TESTCD)	text Extensible: No	C123655	FT-Rey Auditory Verbal Learning Functional Test Test Code	Rey Auditory Verbal Learning Test test code.	CDISC Functional Test AVLT-REY Test Code Terminology
	AVL0201		C123683	AVL02-List A Word 1	Auditory Verbal Learning Test - List A, Word 1.	AVLT-REY - List A Word 1
	AVL0202		C123684	AVL02-List A Word 2	Auditory Verbal Learning Test - List A, Word 2.	AVLT-REY - List A Word 2
	AVL0203		C123685	AVL02-List A Word 3	Auditory Verbal Learning Test - List A, Word 3.	AVLT-REY - List A Word 3
	AVL0204		C123686	AVL02-List A Word 4	Auditory Verbal Learning Test - List A, Word 4.	AVLT-REY - List A Word 4
	AVL0205		C123687	AVL02-List A Word 5	Auditory Verbal Learning Test - List A, Word 5.	AVLT-REY - List A Word 5
	AVL0206		C123688	AVL02-List A Word 6	Auditory Verbal Learning Test - List A, Word 6.	AVLT-REY - List A Word 6
	AVL0207		C123689	AVL02-List A Word 7	Auditory Verbal Learning Test - List A, Word 7.	AVLT-REY - List A Word 7
	AVL0208		C123690	AVL02-List A Word 8	Auditory Verbal Learning Test - List A, Word 8.	AVLT-REY - List A Word 8
	AVL0209		C123691	AVL02-List A Word 9	Auditory Verbal Learning Test - List A, Word 9.	AVLT-REY - List A Word 9
	AVL0210		C123692	AVL02-List A Word 10	Auditory Verbal Learning Test - List A, Word 10.	AVLT-REY - List A Word 10
	AVL0211		C123693	AVL02-List A Word 11	Auditory Verbal Learning Test - List A, Word 11.	AVLT-REY - List A Word 11
	AVL0212		C123694	AVL02-List A Word 12	Auditory Verbal Learning Test - List A, Word 12.	AVLT-REY - List A Word 12
	AVL0213		C123695	AVL02-List A Word 13	Auditory Verbal Learning Test - List A, Word 13.	AVLT-REY - List A Word 13
	AVL0214		C123696	AVL02-List A Word 14	Auditory Verbal Learning Test - List A, Word 14.	AVLT-REY - List A Word 14
	AVL0215		C123697	AVL02-List A Word 15	Auditory Verbal Learning Test - List A, Word 15.	AVLT-REY - List A Word 15
	AVL0216		C123698	AVL02-List A Total	Auditory Verbal Learning Test - The number of List A words recalled from a trial.	AVLT-REY - List A Total
	AVL0217		C123699	AVL02-List A Intrusions	Auditory Verbal Learning Test - The number of List A intrusions while recalling from a trial.	AVLT-REY - List A Intrusions
	AVL0218		C123700	AVL02-List B Word 1	Auditory Verbal Learning Test - List B, Word 1.	AVLT-REY - List B Word 1
	AVL0219		C123701	AVL02-List B Word 2	Auditory Verbal Learning Test - List B, Word 2.	AVLT-REY - List B Word 2
	AVL0220		C123702	AVL02-List B Word 3	Auditory Verbal Learning Test - List B, Word 3.	AVLT-REY - List B Word 3
	AVL0221		C123703	AVL02-List B Word 4	Auditory Verbal Learning Test - List B, Word 4.	AVLT-REY - List B Word 4
	AVL0222		C123704	AVL02-List B Word 5	Auditory Verbal Learning Test - List B, Word 5.	AVLT-REY - List B Word 5
	AVL0223		C123705	AVL02-List B Word 6	Auditory Verbal Learning Test - List B, Word 6.	AVLT-REY - List B Word 6
	AVL0224		C123706	AVL02-List B Word 7	Auditory Verbal Learning Test - List B, Word 7.	AVLT-REY - List B Word 7
	AVL0225		C123707	AVL02-List B Word 8	Auditory Verbal Learning Test - List B, Word 8.	AVLT-REY - List B Word 8
	AVL0226		C123708	AVL02-List B Word 9	Auditory Verbal Learning Test - List B, Word 9.	AVLT-REY - List B Word 9
	AVL0227		C123709	AVL02-List B Word 10	Auditory Verbal Learning Test - List B, Word 10.	AVLT-REY - List B Word 10
	AVL0228		C123710	AVL02-List B Word 11	Auditory Verbal Learning Test - List B, Word 11.	AVLT-REY - List B Word 11
	AVL0229		C123711	AVL02-List B Word 12	Auditory Verbal Learning Test - List B, Word 12.	AVLT-REY - List B Word 12
	AVL0230		C123712	AVL02-List B Word 13	Auditory Verbal Learning Test - List B, Word 13.	AVLT-REY - List B Word 13
	AVL0231		C123713	AVL02-List B Word 14	Auditory Verbal Learning Test - List B, Word 14.	AVLT-REY - List B Word 14
	AVL0232		C123714	AVL02-List B Word 15	Auditory Verbal Learning Test - List B, Word 15.	AVLT-REY - List B Word 15
	AVL0233		C123715	AVL02- List B Total	Auditory Verbal Learning Test - The number of words recalled from List B trial.	AVLT-REY - List B Total
	AVL0234		C123716	AVL02-List B Intrusions	Auditory Verbal Learning Test - The number of intrusions while recalling from List B trial.	AVLT-REY - List B Intrusions
	AVL0235		C123717	AVL02-Recognition Total	Auditory Verbal Learning Test - The number of words correct on recognition test.	AVLT-REY - Recognition Total
	AVL0236		C123718	AVL02-Recognition Intrusions	Auditory Verbal Learning Test - The number of intrusions on recognition test.	AVLT-REY - Recognition Intrusions
Back to top
CL.C123654.AVLT-REY TEST	FT-Rey Auditory Verbal Learning Functional Test Test Name (AVLT-REY TEST)	text Extensible: No	C123654	FT-Rey Auditory Verbal Learning Functional Test Test Name	Rey Auditory Verbal Learning Test test name.	CDISC Functional Test AVLT-REY Test Name Terminology
	AVL02- List B Total		C123715	AVL02- List B Total	Auditory Verbal Learning Test - The number of words recalled from List B trial.	AVLT-REY - List B Total
	AVL02-List A Intrusions		C123699	AVL02-List A Intrusions	Auditory Verbal Learning Test - The number of List A intrusions while recalling from a trial.	AVLT-REY - List A Intrusions
	AVL02-List A Total		C123698	AVL02-List A Total	Auditory Verbal Learning Test - The number of List A words recalled from a trial.	AVLT-REY - List A Total
	AVL02-List A Word 1		C123683	AVL02-List A Word 1	Auditory Verbal Learning Test - List A, Word 1.	AVLT-REY - List A Word 1
	AVL02-List A Word 10		C123692	AVL02-List A Word 10	Auditory Verbal Learning Test - List A, Word 10.	AVLT-REY - List A Word 10
	AVL02-List A Word 11		C123693	AVL02-List A Word 11	Auditory Verbal Learning Test - List A, Word 11.	AVLT-REY - List A Word 11
	AVL02-List A Word 12		C123694	AVL02-List A Word 12	Auditory Verbal Learning Test - List A, Word 12.	AVLT-REY - List A Word 12
	AVL02-List A Word 13		C123695	AVL02-List A Word 13	Auditory Verbal Learning Test - List A, Word 13.	AVLT-REY - List A Word 13
	AVL02-List A Word 14		C123696	AVL02-List A Word 14	Auditory Verbal Learning Test - List A, Word 14.	AVLT-REY - List A Word 14
	AVL02-List A Word 15		C123697	AVL02-List A Word 15	Auditory Verbal Learning Test - List A, Word 15.	AVLT-REY - List A Word 15
	AVL02-List A Word 2		C123684	AVL02-List A Word 2	Auditory Verbal Learning Test - List A, Word 2.	AVLT-REY - List A Word 2
	AVL02-List A Word 3		C123685	AVL02-List A Word 3	Auditory Verbal Learning Test - List A, Word 3.	AVLT-REY - List A Word 3
	AVL02-List A Word 4		C123686	AVL02-List A Word 4	Auditory Verbal Learning Test - List A, Word 4.	AVLT-REY - List A Word 4
	AVL02-List A Word 5		C123687	AVL02-List A Word 5	Auditory Verbal Learning Test - List A, Word 5.	AVLT-REY - List A Word 5
	AVL02-List A Word 6		C123688	AVL02-List A Word 6	Auditory Verbal Learning Test - List A, Word 6.	AVLT-REY - List A Word 6
	AVL02-List A Word 7		C123689	AVL02-List A Word 7	Auditory Verbal Learning Test - List A, Word 7.	AVLT-REY - List A Word 7
	AVL02-List A Word 8		C123690	AVL02-List A Word 8	Auditory Verbal Learning Test - List A, Word 8.	AVLT-REY - List A Word 8
	AVL02-List A Word 9		C123691	AVL02-List A Word 9	Auditory Verbal Learning Test - List A, Word 9.	AVLT-REY - List A Word 9
	AVL02-List B Intrusions		C123716	AVL02-List B Intrusions	Auditory Verbal Learning Test - The number of intrusions while recalling from List B trial.	AVLT-REY - List B Intrusions
	AVL02-List B Word 1		C123700	AVL02-List B Word 1	Auditory Verbal Learning Test - List B, Word 1.	AVLT-REY - List B Word 1
	AVL02-List B Word 10		C123709	AVL02-List B Word 10	Auditory Verbal Learning Test - List B, Word 10.	AVLT-REY - List B Word 10
	AVL02-List B Word 11		C123710	AVL02-List B Word 11	Auditory Verbal Learning Test - List B, Word 11.	AVLT-REY - List B Word 11
	AVL02-List B Word 12		C123711	AVL02-List B Word 12	Auditory Verbal Learning Test - List B, Word 12.	AVLT-REY - List B Word 12
	AVL02-List B Word 13		C123712	AVL02-List B Word 13	Auditory Verbal Learning Test - List B, Word 13.	AVLT-REY - List B Word 13
	AVL02-List B Word 14		C123713	AVL02-List B Word 14	Auditory Verbal Learning Test - List B, Word 14.	AVLT-REY - List B Word 14
	AVL02-List B Word 15		C123714	AVL02-List B Word 15	Auditory Verbal Learning Test - List B, Word 15.	AVLT-REY - List B Word 15
	AVL02-List B Word 2		C123701	AVL02-List B Word 2	Auditory Verbal Learning Test - List B, Word 2.	AVLT-REY - List B Word 2
	AVL02-List B Word 3		C123702	AVL02-List B Word 3	Auditory Verbal Learning Test - List B, Word 3.	AVLT-REY - List B Word 3
	AVL02-List B Word 4		C123703	AVL02-List B Word 4	Auditory Verbal Learning Test - List B, Word 4.	AVLT-REY - List B Word 4
	AVL02-List B Word 5		C123704	AVL02-List B Word 5	Auditory Verbal Learning Test - List B, Word 5.	AVLT-REY - List B Word 5
	AVL02-List B Word 6		C123705	AVL02-List B Word 6	Auditory Verbal Learning Test - List B, Word 6.	AVLT-REY - List B Word 6
	AVL02-List B Word 7		C123706	AVL02-List B Word 7	Auditory Verbal Learning Test - List B, Word 7.	AVLT-REY - List B Word 7
	AVL02-List B Word 8		C123707	AVL02-List B Word 8	Auditory Verbal Learning Test - List B, Word 8.	AVLT-REY - List B Word 8
	AVL02-List B Word 9		C123708	AVL02-List B Word 9	Auditory Verbal Learning Test - List B, Word 9.	AVLT-REY - List B Word 9
	AVL02-Recognition Intrusions		C123718	AVL02-Recognition Intrusions	Auditory Verbal Learning Test - The number of intrusions on recognition test.	AVLT-REY - Recognition Intrusions
	AVL02-Recognition Total		C123717	AVL02-Recognition Total	Auditory Verbal Learning Test - The number of words correct on recognition test.	AVLT-REY - Recognition Total
Back to top
CL.C115396.SDMT TESTCD	FT-Symbol Digit Modalities Functional Test Test Code (SDMT TESTCD)	text Extensible: No	C115396	FT-Symbol Digit Modalities Functional Test Test Code	Symbol Digit Modalities Test test code.	CDISC Functional Test SDMT Test Code Terminology
	SDMT0101		C115816	SDMT01-Total Score	Symbol Digit Modalities Test - Total score.	SDMT - Total Score
Back to top
CL.C115395.SDMT TEST	FT-Symbol Digit Modalities Functional Test Test Name (SDMT TEST)	text Extensible: No	C115395	FT-Symbol Digit Modalities Functional Test Test Name	Symbol Digit Modalities Test test name.	CDISC Functional Test SDMT Test Name Terminology
	SDMT01-Total Score		C115816	SDMT01-Total Score	Symbol Digit Modalities Test - Total score.	SDMT - Total Score
Back to top
CL.C115398.T25FW TESTCD	FT-Timed 25-Foot Walk Functional Test Test Code (T25FW TESTCD)	text Extensible: No	C115398	FT-Timed 25-Foot Walk Functional Test Test Code	Timed 25-Foot Walk Test test code.	CDISC Functional Test T25FW Test Code Terminology
	T25FW101		C115817	T25FW1-Time to Complete 25-Foot Walk	Timed 25-Foot Walk - Time in seconds to complete 25-foot walk.	T25FW - Time to Complete 25-Foot Walk
	T25FW102		C115818	T25FW1-More Than Two Attempts	Timed 25-Foot Walk - Did it take more than two attempts to get two successful trials?	T25FW - More Than Two Attempts
Back to top
CL.C115397.T25FW TEST	FT-Timed 25-Foot Walk Functional Test Test Name (T25FW TEST)	text Extensible: No	C115397	FT-Timed 25-Foot Walk Functional Test Test Name	Timed 25-Foot Walk Test test name.	CDISC Functional Test T25FW Test Name Terminology
	T25FW1-More Than Two Attempts		C115818	T25FW1-More Than Two Attempts	Timed 25-Foot Walk - Did it take more than two attempts to get two successful trials?	T25FW - More Than Two Attempts
	T25FW1-Time to Complete 25-Foot Walk		C115817	T25FW1-Time to Complete 25-Foot Walk	Timed 25-Foot Walk - Time in seconds to complete 25-foot walk.	T25FW - Time to Complete 25-Foot Walk
Back to top
CL.C115400.TUG TESTCD	FT-Timed Up and Go Functional Test Test Code (TUG TESTCD)	text Extensible: No	C115400	FT-Timed Up and Go Functional Test Test Code	Timed Up and Go Test test code.	CDISC Functional Test TUG Test Code Terminology
	TUG0101		C115819	TUG01-Time to Complete TUG Test	Timed Up and Go - Time in seconds to complete TUG test.	TUG - Time to Complete TUG Test
Back to top
CL.C115399.TUG TEST	FT-Timed Up and Go Functional Test Test Name (TUG TEST)	text Extensible: No	C115399	FT-Timed Up and Go Functional Test Test Name	Timed Up and Go Test test name.	CDISC Functional Test TUG Test Name Terminology
	TUG01-Time to Complete TUG Test		C115819	TUG01-Time to Complete TUG Test	Timed Up and Go - Time in seconds to complete TUG test.	TUG - Time to Complete TUG Test
Back to top
CL.C101805.AIMS TESTCD	QS-Abnormal Involuntary Movement Scale Test Code (AIMS TESTCD)	text Extensible: No	C101805	QS-Abnormal Involuntary Movement Scale Test Code	Abnormal Involuntary Movement Scale test code.	CDISC Questionnaire AIMS Test Code Terminology
	AIMS0101		C102034	AIMS01-Muscles of Facial Expression	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.	AIMS - Muscles of Facial Expression
	AIMS0102		C102035	AIMS01-Lips and Perioral Area	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.	AIMS - Lips and Perioral Area
	AIMS0103		C102036	AIMS01-Jaw	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.	AIMS - Jaw
	AIMS0104		C102037	AIMS01-Tongue	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.	AIMS - Tongue
	AIMS0105		C102038	AIMS01-Upper Extremities	Abnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).	AIMS - Upper Extremities
	AIMS0106		C102039	AIMS01-Lower Extremities	Abnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.	AIMS - Lower Extremities
	AIMS0107		C102040	AIMS01-Neck, Shoulders, Hips	Abnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.	AIMS - Neck, Shoulders, Hips
	AIMS0108		C102041	AIMS01-Severity of Abnormal Movements	Abnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.	AIMS - Severity of Abnormal Movements
	AIMS0109		C102042	AIMS01-Incapacitation due Abn Movements	Abnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.	AIMS - Incapacitation Due to Abnormal Movements
	AIMS0110		C102043	AIMS01-Patient Awareness Abn Movements	Abnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.	AIMS - Patient's Awareness of Abnormal Movements
	AIMS0111		C102044	AIMS01-Current Problems Teeth/Dentures	Abnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.	AIMS - Current Teeth/Dentures Problems
	AIMS0112		C102045	AIMS01-Patient Usually Wear Dentures	Abnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?	AIMS - Patient Usually Wears Dentures
Back to top
CL.C101806.AIMS TEST	QS-Abnormal Involuntary Movement Scale Test Name (AIMS TEST)	text Extensible: No	C101806	QS-Abnormal Involuntary Movement Scale Test Name	Abnormal Involuntary Movement Scale test name.	CDISC Questionnaire AIMS Test Name Terminology
	AIMS01-Current Problems Teeth/Dentures		C102044	AIMS01-Current Problems Teeth/Dentures	Abnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.	AIMS - Current Teeth/Dentures Problems
	AIMS01-Incapacitation due Abn Movements		C102042	AIMS01-Incapacitation due Abn Movements	Abnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.	AIMS - Incapacitation Due to Abnormal Movements
	AIMS01-Jaw		C102036	AIMS01-Jaw	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.	AIMS - Jaw
	AIMS01-Lips and Perioral Area		C102035	AIMS01-Lips and Perioral Area	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.	AIMS - Lips and Perioral Area
	AIMS01-Lower Extremities		C102039	AIMS01-Lower Extremities	Abnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.	AIMS - Lower Extremities
	AIMS01-Muscles of Facial Expression		C102034	AIMS01-Muscles of Facial Expression	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.	AIMS - Muscles of Facial Expression
	AIMS01-Neck, Shoulders, Hips		C102040	AIMS01-Neck, Shoulders, Hips	Abnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.	AIMS - Neck, Shoulders, Hips
	AIMS01-Patient Awareness Abn Movements		C102043	AIMS01-Patient Awareness Abn Movements	Abnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.	AIMS - Patient's Awareness of Abnormal Movements
	AIMS01-Patient Usually Wear Dentures		C102045	AIMS01-Patient Usually Wear Dentures	Abnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?	AIMS - Patient Usually Wears Dentures
	AIMS01-Severity of Abnormal Movements		C102041	AIMS01-Severity of Abnormal Movements	Abnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.	AIMS - Severity of Abnormal Movements
	AIMS01-Tongue		C102037	AIMS01-Tongue	Abnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.	AIMS - Tongue
	AIMS01-Upper Extremities		C102038	AIMS01-Upper Extremities	Abnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).	AIMS - Upper Extremities
Back to top
CL.C101807.AVLT TESTCD	QS-ADNI AVLT Test Code (AVLT TESTCD)	text Extensible: No	C101807	QS-ADNI AVLT Test Code	ADNI AVLT test code.	CDISC Questionnaire ADNI AVLT Test Code Terminology
	AVL01001		C101896	AVL01-List A Recall 1 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.	ADNI AVLT - List A Recall 1 Word 1
	AVL01002		C101897	AVL01-List A Recall 1 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.	ADNI AVLT - List A Recall 1 Word 2
	AVL01003		C101898	AVL01-List A Recall 1 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.	ADNI AVLT - List A Recall 1 Word 3
	AVL01004		C101899	AVL01-List A Recall 1 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.	ADNI AVLT - List A Recall 1 Word 4
	AVL01005		C101900	AVL01-List A Recall 1 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.	ADNI AVLT - List A Recall 1 Word 5
	AVL01006		C101901	AVL01-List A Recall 1 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.	ADNI AVLT - List A Recall 1 Word 6
	AVL01007		C101902	AVL01-List A Recall 1 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.	ADNI AVLT - List A Recall 1 Word 7
	AVL01008		C101903	AVL01-List A Recall 1 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.	ADNI AVLT - List A Recall 1 Word 8
	AVL01009		C101904	AVL01-List A Recall 1 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.	ADNI AVLT - List A Recall 1 Word 9
	AVL01010		C101905	AVL01-List A Recall 1 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.	ADNI AVLT - List A Recall 1 Word 10
	AVL01011		C101906	AVL01-List A Recall 1 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.	ADNI AVLT - List A Recall 1 Word 11
	AVL01012		C101907	AVL01-List A Recall 1 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.	ADNI AVLT - List A Recall 1 Word 12
	AVL01013		C101908	AVL01-List A Recall 1 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.	ADNI AVLT - List A Recall 1 Word 13
	AVL01014		C101909	AVL01-List A Recall 1 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.	ADNI AVLT - List A Recall 1 Word 14
	AVL01015		C101910	AVL01-List A Recall 1 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.	ADNI AVLT - List A Recall 1 Word 15
	AVL01016		C101911	AVL01-List A Recall 1 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.	ADNI AVLT - List A Recall 1 Total
	AVL01017		C101912	AVL01-List A Intrusions 1	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.	ADNI AVLT - List A Intrusions 1
	AVL01018		C101913	AVL01-List A Recall 2 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.	ADNI AVLT - List A Recall 2 Word 1
	AVL01019		C101914	AVL01-List A Recall 2 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.	ADNI AVLT - List A Recall 2 Word 2
	AVL01020		C101915	AVL01-List A Recall 2 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.	ADNI AVLT - List A Recall 2 Word 3
	AVL01021		C101916	AVL01-List A Recall 2 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.	ADNI AVLT - List A Recall 2 Word 4
	AVL01022		C101917	AVL01-List A Recall 2 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.	ADNI AVLT - List A Recall 2 Word 5
	AVL01023		C101918	AVL01-List A Recall 2 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.	ADNI AVLT - List A Recall 2 Word 6
	AVL01024		C101919	AVL01-List A Recall 2 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.	ADNI AVLT - List A Recall 2 Word 7
	AVL01025		C101920	AVL01-List A Recall 2 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.	ADNI AVLT - List A Recall 2 Word 8
	AVL01026		C101921	AVL01-List A Recall 2 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.	ADNI AVLT - List A Recall 2 Word 9
	AVL01027		C101922	AVL01-List A Recall 2 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.	ADNI AVLT - List A Recall 2 Word 10
	AVL01028		C101923	AVL01-List A Recall 2 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.	ADNI AVLT - List A Recall 2 Word 11
	AVL01029		C101924	AVL01-List A Recall 2 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.	ADNI AVLT - List A Recall 2 Word 12
	AVL01030		C101925	AVL01-List A Recall 2 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.	ADNI AVLT - List A Recall 2 Word 13
	AVL01031		C101926	AVL01-List A Recall 2 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.	ADNI AVLT - List A Recall 2 Word 14
	AVL01032		C101927	AVL01-List A Recall 2 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.	ADNI AVLT - List A Recall 2 Word 15
	AVL01033		C101928	AVL01-List A Recall 2 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.	ADNI AVLT - List A Recall 2 Total
	AVL01034		C101929	AVL01-List A Intrusions 2	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.	ADNI AVLT - List A Intrusions 2
	AVL01035		C101930	AVL01-List A Recall 3 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.	ADNI AVLT - List A Recall 3 Word 1
	AVL01036		C101931	AVL01-List A Recall 3 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.	ADNI AVLT - List A Recall 3 Word 2
	AVL01037		C101932	AVL01-List A Recall 3 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.	ADNI AVLT - List A Recall 3 Word 3
	AVL01038		C101933	AVL01-List A Recall 3 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.	ADNI AVLT - List A Recall 3 Word 4
	AVL01039		C101934	AVL01-List A Recall 3 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.	ADNI AVLT - List A Recall 3 Word 5
	AVL01040		C101935	AVL01-List A Recall 3 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.	ADNI AVLT - List A Recall 3 Word 6
	AVL01041		C101936	AVL01-List A Recall 3 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.	ADNI AVLT - List A Recall 3 Word 7
	AVL01042		C101937	AVL01-List A Recall 3 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.	ADNI AVLT - List A Recall 3 Word 8
	AVL01043		C101938	AVL01-List A Recall 3 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.	ADNI AVLT - List A Recall 3 Word 9
	AVL01044		C101939	AVL01-List A Recall 3 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.	ADNI AVLT - List A Recall 3 Word 10
	AVL01045		C101940	AVL01-List A Recall 3 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.	ADNI AVLT - List A Recall 3 Word 11
	AVL01046		C101941	AVL01-List A Recall 3 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.	ADNI AVLT - List A Recall 3 Word 12
	AVL01047		C101942	AVL01-List A Recall 3 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.	ADNI AVLT - List A Recall 3 Word 13
	AVL01048		C101943	AVL01-List A Recall 3 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.	ADNI AVLT - List A Recall 3 Word 14
	AVL01049		C101944	AVL01-List A Recall 3 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.	ADNI AVLT - List A Recall 3 Word 15
	AVL01050		C101945	AVL01-List A Recall 3 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.	ADNI AVLT - List A Recall 3 Total
	AVL01051		C101946	AVL01-List A Intrusions 3	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.	ADNI AVLT - List A Intrusions 3
	AVL01052		C101947	AVL01-List A Recall 4 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.	ADNI AVLT - List A Recall 4 Word 1
	AVL01053		C101948	AVL01-List A Recall 4 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.	ADNI AVLT - List A Recall 4 Word 2
	AVL01054		C101949	AVL01-List A Recall 4 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.	ADNI AVLT - List A Recall 4 Word 3
	AVL01055		C101950	AVL01-List A Recall 4 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.	ADNI AVLT - List A Recall 4 Word 4
	AVL01056		C101951	AVL01-List A Recall 4 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.	ADNI AVLT - List A Recall 4 Word 5
	AVL01057		C101952	AVL01-List A Recall 4 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.	ADNI AVLT - List A Recall 4 Word 6
	AVL01058		C101953	AVL01-List A Recall 4 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.	ADNI AVLT - List A Recall 4 Word 7
	AVL01059		C101954	AVL01-List A Recall 4 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.	ADNI AVLT - List A Recall 4 Word 8
	AVL01060		C101955	AVL01-List A Recall 4 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.	ADNI AVLT - List A Recall 4 Word 9
	AVL01061		C101956	AVL01-List A Recall 4 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.	ADNI AVLT - List A Recall 4 Word 10
	AVL01062		C101957	AVL01-List A Recall 4 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.	ADNI AVLT - List A Recall 4 Word 11
	AVL01063		C101958	AVL01-List A Recall 4 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.	ADNI AVLT - List A Recall 4 Word 12
	AVL01064		C101959	AVL01-List A Recall 4 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.	ADNI AVLT - List A Recall 4 Word 13
	AVL01065		C101960	AVL01-List A Recall 4 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.	ADNI AVLT - List A Recall 4 Word 14
	AVL01066		C101961	AVL01-List A Recall 4 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.	ADNI AVLT - List A Recall 4 Word 15
	AVL01067		C101962	AVL01-List A Recall 4 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.	ADNI AVLT - List A Recall 4 Total
	AVL01068		C101963	AVL01-List A Intrusions 4	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.	ADNI AVLT - List A Intrusions 4
	AVL01069		C101964	AVL01-List A Recall 5 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.	ADNI AVLT - List A Recall 5 Word 1
	AVL01070		C101965	AVL01-List A Recall 5 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.	ADNI AVLT - List A Recall 5 Word 2
	AVL01071		C101966	AVL01-List A Recall 5 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.	ADNI AVLT - List A Recall 5 Word 3
	AVL01072		C101967	AVL01-List A Recall 5 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.	ADNI AVLT - List A Recall 5 Word 4
	AVL01073		C101968	AVL01-List A Recall 5 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.	ADNI AVLT - List A Recall 5 Word 5
	AVL01074		C101969	AVL01-List A Recall 5 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.	ADNI AVLT - List A Recall 5 Word 6
	AVL01075		C101970	AVL01-List A Recall 5 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.	ADNI AVLT - List A Recall 5 Word 7
	AVL01076		C101971	AVL01-List A Recall 5 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.	ADNI AVLT - List A Recall 5 Word 8
	AVL01077		C101972	AVL01-List A Recall 5 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.	ADNI AVLT - List A Recall 5 Word 9
	AVL01078		C101973	AVL01-List A Recall 5 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.	ADNI AVLT - List A Recall 5 Word 10
	AVL01079		C101974	AVL01-List A Recall 5 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.	ADNI AVLT - List A Recall 5 Word 11
	AVL01080		C101975	AVL01-List A Recall 5 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.	ADNI AVLT - List A Recall 5 Word 12
	AVL01081		C101976	AVL01-List A Recall 5 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.	ADNI AVLT - List A Recall 5 Word 13
	AVL01082		C101977	AVL01-List A Recall 5 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.	ADNI AVLT - List A Recall 5 Word 14
	AVL01083		C101978	AVL01-List A Recall 5 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.	ADNI AVLT - List A Recall 5 Word 15
	AVL01084		C101979	AVL01-List A Recall 5 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.	ADNI AVLT - List A Recall 5 Total
	AVL01085		C101980	AVL01-List A Intrusions 5	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.	ADNI AVLT - List A Intrusions 5
	AVL01086		C101981	AVL01-List A Recall 6 (After B) Word 1	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.	ADNI AVLT - List A Recall 6 (After B) Word 1
	AVL01087		C101982	AVL01-List A Recall 6 (After B) Word 2	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.	ADNI AVLT - List A Recall 6 (After B) Word 2
	AVL01088		C101983	AVL01-List A Recall 6 (After B) Word 3	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.	ADNI AVLT - List A Recall 6 (After B) Word 3
	AVL01089		C101984	AVL01-List A Recall 6 (After B) Word 4	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.	ADNI AVLT - List A Recall 6 (After B) Word 4
	AVL01090		C101985	AVL01-List A Recall 6 (After B) Word 5	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.	ADNI AVLT - List A Recall 6 (After B) Word 5
	AVL01091		C101986	AVL01-List A Recall 6 (After B) Word 6	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.	ADNI AVLT - List A Recall 6 (After B) Word 6
	AVL01092		C101987	AVL01-List A Recall 6 (After B) Word 7	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.	ADNI AVLT - List A Recall 6 (After B) Word 7
	AVL01093		C101988	AVL01-List A Recall 6 (After B) Word 8	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.	ADNI AVLT - List A Recall 6 (After B) Word 8
	AVL01094		C101989	AVL01-List A Recall 6 (After B) Word 9	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.	ADNI AVLT - List A Recall 6 (After B) Word 9
	AVL01095		C101990	AVL01-List A Recall 6 (After B) Word 10	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.	ADNI AVLT - List A Recall 6 (After B) Word 10
	AVL01096		C101991	AVL01-List A Recall 6 (After B) Word 11	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.	ADNI AVLT - List A Recall 6 (After B) Word 11
	AVL01097		C101992	AVL01-List A Recall 6 (After B) Word 12	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.	ADNI AVLT - List A Recall 6 (After B) Word 12
	AVL01098		C101993	AVL01-List A Recall 6 (After B) Word 13	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.	ADNI AVLT - List A Recall 6 (After B) Word 13
	AVL01099		C101994	AVL01-List A Recall 6 (After B) Word 14	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.	ADNI AVLT - List A Recall 6 (After B) Word 14
	AVL01100		C101995	AVL01-List A Recall 6 (After B) Word 15	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.	ADNI AVLT - List A Recall 6 (After B) Word 15
	AVL01101		C101996	AVL01-List A Recall 6 (After B) Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).	ADNI AVLT - List A Recall 6 (After B) Total
	AVL01102		C101997	AVL01-List A Intrusions 6	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).	ADNI AVLT - List A Intrusions 6
	AVL01103		C101998	AVL01-List B Recall Word 1	Auditory Verbal Learning Test Version A - List B, Word 1.	ADNI AVLT - List B Recall Word 1
	AVL01104		C101999	AVL01-List B Recall Word 2	Auditory Verbal Learning Test Version A - List B, Word 2.	ADNI AVLT - List B Recall Word 2
	AVL01105		C102000	AVL01-List B Recall Word 3	Auditory Verbal Learning Test Version A - List B, Word 3.	ADNI AVLT - List B Recall Word 3
	AVL01106		C102001	AVL01-List B Recall Word 4	Auditory Verbal Learning Test Version A - List B, Word 4.	ADNI AVLT - List B Recall Word 4
	AVL01107		C102002	AVL01-List B Recall Word 5	Auditory Verbal Learning Test Version A - List B, Word 5.	ADNI AVLT - List B Recall Word 5
	AVL01108		C102003	AVL01-List B Recall Word 6	Auditory Verbal Learning Test Version A - List B, Word 6.	ADNI AVLT - List B Recall Word 6
	AVL01109		C102004	AVL01-List B Recall Word 7	Auditory Verbal Learning Test Version A - List B, Word 7.	ADNI AVLT - List B Recall Word 7
	AVL01110		C102005	AVL01-List B Recall Word 8	Auditory Verbal Learning Test Version A - List B, Word 8.	ADNI AVLT - List B Recall Word 8
	AVL01111		C102006	AVL01-List B Recall Word 9	Auditory Verbal Learning Test Version A - List B, Word 9.	ADNI AVLT - List B Recall Word 9
	AVL01112		C102007	AVL01-List B Recall Word 10	Auditory Verbal Learning Test Version A - List B, Word 10.	ADNI AVLT - List B Recall Word 10
	AVL01113		C102008	AVL01-List B Recall Word 11	Auditory Verbal Learning Test Version A - List B, Word 11.	ADNI AVLT - List B Recall Word 11
	AVL01114		C102009	AVL01-List B Recall Word 12	Auditory Verbal Learning Test Version A - List B, Word 12.	ADNI AVLT - List B Recall Word 12
	AVL01115		C102010	AVL01-List B Recall Word 13	Auditory Verbal Learning Test Version A - List B, Word 13.	ADNI AVLT - List B Recall Word 13
	AVL01116		C102011	AVL01-List B Recall Word 14	Auditory Verbal Learning Test Version A - List B, Word 14.	ADNI AVLT - List B Recall Word 14
	AVL01117		C102012	AVL01-List B Recall Word 15	Auditory Verbal Learning Test Version A - List B, Word 15.	ADNI AVLT - List B Recall Word 15
	AVL01118		C102013	AVL01-List B Recall Total	Auditory Verbal Learning Test Version A - The number of words recalled from List B.	ADNI AVLT - List B Recall Total
	AVL01119		C102014	AVL01-List B Intrusions	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List B.	ADNI AVLT - List B Intrusions
	AVL01120		C102015	AVL01-List A 30 Min Delay Recall Word 1	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.	ADNI AVLT - List A 30 Min Delay Recall Word 1
	AVL01121		C102016	AVL01-List A 30 Min Delay Recall Word 2	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.	ADNI AVLT - List A 30 Min Delay Recall Word 2
	AVL01122		C102017	AVL01-List A 30 Min Delay Recall Word 3	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.	ADNI AVLT - List A 30 Min Delay Recall Word 3
	AVL01123		C102018	AVL01-List A 30 Min Delay Recall Word 4	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.	ADNI AVLT - List A 30 Min Delay Recall Word 4
	AVL01124		C102019	AVL01-List A 30 Min Delay Recall Word 5	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.	ADNI AVLT - List A 30 Min Delay Recall Word 5
	AVL01125		C102020	AVL01-List A 30 Min Delay Recall Word 6	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.	ADNI AVLT - List A 30 Min Delay Recall Word 6
	AVL01126		C102021	AVL01-List A 30 Min Delay Recall Word 7	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.	ADNI AVLT - List A 30 Min Delay Recall Word 7
	AVL01127		C102022	AVL01-List A 30 Min Delay Recall Word 8	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.	ADNI AVLT - List A 30 Min Delay Recall Word 8
	AVL01128		C102023	AVL01-List A 30 Min Delay Recall Word 9	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.	ADNI AVLT - List A 30 Min Delay Recall Word 9
	AVL01129		C102024	AVL01-List A 30 Min Delay Recall Word 10	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.	ADNI AVLT - List A 30 Min Delay Recall Word 10
	AVL01130		C102025	AVL01-List A 30 Min Delay Recall Word 11	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.	ADNI AVLT - List A 30 Min Delay Recall Word 11
	AVL01131		C102026	AVL01-List A 30 Min Delay Recall Word 12	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.	ADNI AVLT - List A 30 Min Delay Recall Word 12
	AVL01132		C102027	AVL01-List A 30 Min Delay Recall Word 13	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.	ADNI AVLT - List A 30 Min Delay Recall Word 13
	AVL01133		C102028	AVL01-List A 30 Min Delay Recall Word 14	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.	ADNI AVLT - List A 30 Min Delay Recall Word 14
	AVL01134		C102029	AVL01-List A 30 Min Delay Recall Word 15	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.	ADNI AVLT - List A 30 Min Delay Recall Word 15
	AVL01135		C102030	AVL01-List A 30 Min Delay Recall Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.	ADNI AVLT - List A 30 Min Delay Recall Total
	AVL01136		C102031	AVL01-List A 30 Min Delay Intrusions	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.	ADNI AVLT - List A 30 Min Delay Intrusions
	AVL01137		C102032	AVL01-List A Recognition Total	Auditory Verbal Learning Test Version A - The number of words correct on recognition test.	ADNI AVLT - List A Recognition Total
	AVL01138		C102033	AVL01-List A Recognition Intrusions	Auditory Verbal Learning Test Version A - The number of intrusions on recognition test.	ADNI AVLT - List A Recognition Intrusions
Back to top
CL.C101808.AVLT TEST	QS-ADNI AVLT Test Name (AVLT TEST)	text Extensible: No	C101808	QS-ADNI AVLT Test Name	ADNI AVLT test name.	CDISC Questionnaire ADNI AVLT Test Name Terminology
	AVL01-List A 30 Min Delay Intrusions		C102031	AVL01-List A 30 Min Delay Intrusions	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.	ADNI AVLT - List A 30 Min Delay Intrusions
	AVL01-List A 30 Min Delay Recall Total		C102030	AVL01-List A 30 Min Delay Recall Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.	ADNI AVLT - List A 30 Min Delay Recall Total
	AVL01-List A 30 Min Delay Recall Word 1		C102015	AVL01-List A 30 Min Delay Recall Word 1	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.	ADNI AVLT - List A 30 Min Delay Recall Word 1
	AVL01-List A 30 Min Delay Recall Word 10		C102024	AVL01-List A 30 Min Delay Recall Word 10	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.	ADNI AVLT - List A 30 Min Delay Recall Word 10
	AVL01-List A 30 Min Delay Recall Word 11		C102025	AVL01-List A 30 Min Delay Recall Word 11	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.	ADNI AVLT - List A 30 Min Delay Recall Word 11
	AVL01-List A 30 Min Delay Recall Word 12		C102026	AVL01-List A 30 Min Delay Recall Word 12	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.	ADNI AVLT - List A 30 Min Delay Recall Word 12
	AVL01-List A 30 Min Delay Recall Word 13		C102027	AVL01-List A 30 Min Delay Recall Word 13	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.	ADNI AVLT - List A 30 Min Delay Recall Word 13
	AVL01-List A 30 Min Delay Recall Word 14		C102028	AVL01-List A 30 Min Delay Recall Word 14	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.	ADNI AVLT - List A 30 Min Delay Recall Word 14
	AVL01-List A 30 Min Delay Recall Word 15		C102029	AVL01-List A 30 Min Delay Recall Word 15	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.	ADNI AVLT - List A 30 Min Delay Recall Word 15
	AVL01-List A 30 Min Delay Recall Word 2		C102016	AVL01-List A 30 Min Delay Recall Word 2	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.	ADNI AVLT - List A 30 Min Delay Recall Word 2
	AVL01-List A 30 Min Delay Recall Word 3		C102017	AVL01-List A 30 Min Delay Recall Word 3	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.	ADNI AVLT - List A 30 Min Delay Recall Word 3
	AVL01-List A 30 Min Delay Recall Word 4		C102018	AVL01-List A 30 Min Delay Recall Word 4	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.	ADNI AVLT - List A 30 Min Delay Recall Word 4
	AVL01-List A 30 Min Delay Recall Word 5		C102019	AVL01-List A 30 Min Delay Recall Word 5	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.	ADNI AVLT - List A 30 Min Delay Recall Word 5
	AVL01-List A 30 Min Delay Recall Word 6		C102020	AVL01-List A 30 Min Delay Recall Word 6	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.	ADNI AVLT - List A 30 Min Delay Recall Word 6
	AVL01-List A 30 Min Delay Recall Word 7		C102021	AVL01-List A 30 Min Delay Recall Word 7	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.	ADNI AVLT - List A 30 Min Delay Recall Word 7
	AVL01-List A 30 Min Delay Recall Word 8		C102022	AVL01-List A 30 Min Delay Recall Word 8	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.	ADNI AVLT - List A 30 Min Delay Recall Word 8
	AVL01-List A 30 Min Delay Recall Word 9		C102023	AVL01-List A 30 Min Delay Recall Word 9	Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.	ADNI AVLT - List A 30 Min Delay Recall Word 9
	AVL01-List A Intrusions 1		C101912	AVL01-List A Intrusions 1	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.	ADNI AVLT - List A Intrusions 1
	AVL01-List A Intrusions 2		C101929	AVL01-List A Intrusions 2	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.	ADNI AVLT - List A Intrusions 2
	AVL01-List A Intrusions 3		C101946	AVL01-List A Intrusions 3	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.	ADNI AVLT - List A Intrusions 3
	AVL01-List A Intrusions 4		C101963	AVL01-List A Intrusions 4	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.	ADNI AVLT - List A Intrusions 4
	AVL01-List A Intrusions 5		C101980	AVL01-List A Intrusions 5	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.	ADNI AVLT - List A Intrusions 5
	AVL01-List A Intrusions 6		C101997	AVL01-List A Intrusions 6	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).	ADNI AVLT - List A Intrusions 6
	AVL01-List A Recall 1 Total		C101911	AVL01-List A Recall 1 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.	ADNI AVLT - List A Recall 1 Total
	AVL01-List A Recall 1 Word 1		C101896	AVL01-List A Recall 1 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.	ADNI AVLT - List A Recall 1 Word 1
	AVL01-List A Recall 1 Word 10		C101905	AVL01-List A Recall 1 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.	ADNI AVLT - List A Recall 1 Word 10
	AVL01-List A Recall 1 Word 11		C101906	AVL01-List A Recall 1 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.	ADNI AVLT - List A Recall 1 Word 11
	AVL01-List A Recall 1 Word 12		C101907	AVL01-List A Recall 1 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.	ADNI AVLT - List A Recall 1 Word 12
	AVL01-List A Recall 1 Word 13		C101908	AVL01-List A Recall 1 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.	ADNI AVLT - List A Recall 1 Word 13
	AVL01-List A Recall 1 Word 14		C101909	AVL01-List A Recall 1 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.	ADNI AVLT - List A Recall 1 Word 14
	AVL01-List A Recall 1 Word 15		C101910	AVL01-List A Recall 1 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.	ADNI AVLT - List A Recall 1 Word 15
	AVL01-List A Recall 1 Word 2		C101897	AVL01-List A Recall 1 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.	ADNI AVLT - List A Recall 1 Word 2
	AVL01-List A Recall 1 Word 3		C101898	AVL01-List A Recall 1 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.	ADNI AVLT - List A Recall 1 Word 3
	AVL01-List A Recall 1 Word 4		C101899	AVL01-List A Recall 1 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.	ADNI AVLT - List A Recall 1 Word 4
	AVL01-List A Recall 1 Word 5		C101900	AVL01-List A Recall 1 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.	ADNI AVLT - List A Recall 1 Word 5
	AVL01-List A Recall 1 Word 6		C101901	AVL01-List A Recall 1 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.	ADNI AVLT - List A Recall 1 Word 6
	AVL01-List A Recall 1 Word 7		C101902	AVL01-List A Recall 1 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.	ADNI AVLT - List A Recall 1 Word 7
	AVL01-List A Recall 1 Word 8		C101903	AVL01-List A Recall 1 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.	ADNI AVLT - List A Recall 1 Word 8
	AVL01-List A Recall 1 Word 9		C101904	AVL01-List A Recall 1 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.	ADNI AVLT - List A Recall 1 Word 9
	AVL01-List A Recall 2 Total		C101928	AVL01-List A Recall 2 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.	ADNI AVLT - List A Recall 2 Total
	AVL01-List A Recall 2 Word 1		C101913	AVL01-List A Recall 2 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.	ADNI AVLT - List A Recall 2 Word 1
	AVL01-List A Recall 2 Word 10		C101922	AVL01-List A Recall 2 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.	ADNI AVLT - List A Recall 2 Word 10
	AVL01-List A Recall 2 Word 11		C101923	AVL01-List A Recall 2 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.	ADNI AVLT - List A Recall 2 Word 11
	AVL01-List A Recall 2 Word 12		C101924	AVL01-List A Recall 2 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.	ADNI AVLT - List A Recall 2 Word 12
	AVL01-List A Recall 2 Word 13		C101925	AVL01-List A Recall 2 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.	ADNI AVLT - List A Recall 2 Word 13
	AVL01-List A Recall 2 Word 14		C101926	AVL01-List A Recall 2 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.	ADNI AVLT - List A Recall 2 Word 14
	AVL01-List A Recall 2 Word 15		C101927	AVL01-List A Recall 2 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.	ADNI AVLT - List A Recall 2 Word 15
	AVL01-List A Recall 2 Word 2		C101914	AVL01-List A Recall 2 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.	ADNI AVLT - List A Recall 2 Word 2
	AVL01-List A Recall 2 Word 3		C101915	AVL01-List A Recall 2 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.	ADNI AVLT - List A Recall 2 Word 3
	AVL01-List A Recall 2 Word 4		C101916	AVL01-List A Recall 2 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.	ADNI AVLT - List A Recall 2 Word 4
	AVL01-List A Recall 2 Word 5		C101917	AVL01-List A Recall 2 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.	ADNI AVLT - List A Recall 2 Word 5
	AVL01-List A Recall 2 Word 6		C101918	AVL01-List A Recall 2 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.	ADNI AVLT - List A Recall 2 Word 6
	AVL01-List A Recall 2 Word 7		C101919	AVL01-List A Recall 2 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.	ADNI AVLT - List A Recall 2 Word 7
	AVL01-List A Recall 2 Word 8		C101920	AVL01-List A Recall 2 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.	ADNI AVLT - List A Recall 2 Word 8
	AVL01-List A Recall 2 Word 9		C101921	AVL01-List A Recall 2 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.	ADNI AVLT - List A Recall 2 Word 9
	AVL01-List A Recall 3 Total		C101945	AVL01-List A Recall 3 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.	ADNI AVLT - List A Recall 3 Total
	AVL01-List A Recall 3 Word 1		C101930	AVL01-List A Recall 3 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.	ADNI AVLT - List A Recall 3 Word 1
	AVL01-List A Recall 3 Word 10		C101939	AVL01-List A Recall 3 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.	ADNI AVLT - List A Recall 3 Word 10
	AVL01-List A Recall 3 Word 11		C101940	AVL01-List A Recall 3 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.	ADNI AVLT - List A Recall 3 Word 11
	AVL01-List A Recall 3 Word 12		C101941	AVL01-List A Recall 3 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.	ADNI AVLT - List A Recall 3 Word 12
	AVL01-List A Recall 3 Word 13		C101942	AVL01-List A Recall 3 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.	ADNI AVLT - List A Recall 3 Word 13
	AVL01-List A Recall 3 Word 14		C101943	AVL01-List A Recall 3 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.	ADNI AVLT - List A Recall 3 Word 14
	AVL01-List A Recall 3 Word 15		C101944	AVL01-List A Recall 3 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.	ADNI AVLT - List A Recall 3 Word 15
	AVL01-List A Recall 3 Word 2		C101931	AVL01-List A Recall 3 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.	ADNI AVLT - List A Recall 3 Word 2
	AVL01-List A Recall 3 Word 3		C101932	AVL01-List A Recall 3 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.	ADNI AVLT - List A Recall 3 Word 3
	AVL01-List A Recall 3 Word 4		C101933	AVL01-List A Recall 3 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.	ADNI AVLT - List A Recall 3 Word 4
	AVL01-List A Recall 3 Word 5		C101934	AVL01-List A Recall 3 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.	ADNI AVLT - List A Recall 3 Word 5
	AVL01-List A Recall 3 Word 6		C101935	AVL01-List A Recall 3 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.	ADNI AVLT - List A Recall 3 Word 6
	AVL01-List A Recall 3 Word 7		C101936	AVL01-List A Recall 3 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.	ADNI AVLT - List A Recall 3 Word 7
	AVL01-List A Recall 3 Word 8		C101937	AVL01-List A Recall 3 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.	ADNI AVLT - List A Recall 3 Word 8
	AVL01-List A Recall 3 Word 9		C101938	AVL01-List A Recall 3 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.	ADNI AVLT - List A Recall 3 Word 9
	AVL01-List A Recall 4 Total		C101962	AVL01-List A Recall 4 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.	ADNI AVLT - List A Recall 4 Total
	AVL01-List A Recall 4 Word 1		C101947	AVL01-List A Recall 4 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.	ADNI AVLT - List A Recall 4 Word 1
	AVL01-List A Recall 4 Word 10		C101956	AVL01-List A Recall 4 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.	ADNI AVLT - List A Recall 4 Word 10
	AVL01-List A Recall 4 Word 11		C101957	AVL01-List A Recall 4 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.	ADNI AVLT - List A Recall 4 Word 11
	AVL01-List A Recall 4 Word 12		C101958	AVL01-List A Recall 4 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.	ADNI AVLT - List A Recall 4 Word 12
	AVL01-List A Recall 4 Word 13		C101959	AVL01-List A Recall 4 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.	ADNI AVLT - List A Recall 4 Word 13
	AVL01-List A Recall 4 Word 14		C101960	AVL01-List A Recall 4 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.	ADNI AVLT - List A Recall 4 Word 14
	AVL01-List A Recall 4 Word 15		C101961	AVL01-List A Recall 4 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.	ADNI AVLT - List A Recall 4 Word 15
	AVL01-List A Recall 4 Word 2		C101948	AVL01-List A Recall 4 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.	ADNI AVLT - List A Recall 4 Word 2
	AVL01-List A Recall 4 Word 3		C101949	AVL01-List A Recall 4 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.	ADNI AVLT - List A Recall 4 Word 3
	AVL01-List A Recall 4 Word 4		C101950	AVL01-List A Recall 4 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.	ADNI AVLT - List A Recall 4 Word 4
	AVL01-List A Recall 4 Word 5		C101951	AVL01-List A Recall 4 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.	ADNI AVLT - List A Recall 4 Word 5
	AVL01-List A Recall 4 Word 6		C101952	AVL01-List A Recall 4 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.	ADNI AVLT - List A Recall 4 Word 6
	AVL01-List A Recall 4 Word 7		C101953	AVL01-List A Recall 4 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.	ADNI AVLT - List A Recall 4 Word 7
	AVL01-List A Recall 4 Word 8		C101954	AVL01-List A Recall 4 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.	ADNI AVLT - List A Recall 4 Word 8
	AVL01-List A Recall 4 Word 9		C101955	AVL01-List A Recall 4 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.	ADNI AVLT - List A Recall 4 Word 9
	AVL01-List A Recall 5 Total		C101979	AVL01-List A Recall 5 Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.	ADNI AVLT - List A Recall 5 Total
	AVL01-List A Recall 5 Word 1		C101964	AVL01-List A Recall 5 Word 1	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.	ADNI AVLT - List A Recall 5 Word 1
	AVL01-List A Recall 5 Word 10		C101973	AVL01-List A Recall 5 Word 10	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.	ADNI AVLT - List A Recall 5 Word 10
	AVL01-List A Recall 5 Word 11		C101974	AVL01-List A Recall 5 Word 11	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.	ADNI AVLT - List A Recall 5 Word 11
	AVL01-List A Recall 5 Word 12		C101975	AVL01-List A Recall 5 Word 12	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.	ADNI AVLT - List A Recall 5 Word 12
	AVL01-List A Recall 5 Word 13		C101976	AVL01-List A Recall 5 Word 13	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.	ADNI AVLT - List A Recall 5 Word 13
	AVL01-List A Recall 5 Word 14		C101977	AVL01-List A Recall 5 Word 14	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.	ADNI AVLT - List A Recall 5 Word 14
	AVL01-List A Recall 5 Word 15		C101978	AVL01-List A Recall 5 Word 15	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.	ADNI AVLT - List A Recall 5 Word 15
	AVL01-List A Recall 5 Word 2		C101965	AVL01-List A Recall 5 Word 2	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.	ADNI AVLT - List A Recall 5 Word 2
	AVL01-List A Recall 5 Word 3		C101966	AVL01-List A Recall 5 Word 3	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.	ADNI AVLT - List A Recall 5 Word 3
	AVL01-List A Recall 5 Word 4		C101967	AVL01-List A Recall 5 Word 4	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.	ADNI AVLT - List A Recall 5 Word 4
	AVL01-List A Recall 5 Word 5		C101968	AVL01-List A Recall 5 Word 5	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.	ADNI AVLT - List A Recall 5 Word 5
	AVL01-List A Recall 5 Word 6		C101969	AVL01-List A Recall 5 Word 6	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.	ADNI AVLT - List A Recall 5 Word 6
	AVL01-List A Recall 5 Word 7		C101970	AVL01-List A Recall 5 Word 7	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.	ADNI AVLT - List A Recall 5 Word 7
	AVL01-List A Recall 5 Word 8		C101971	AVL01-List A Recall 5 Word 8	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.	ADNI AVLT - List A Recall 5 Word 8
	AVL01-List A Recall 5 Word 9		C101972	AVL01-List A Recall 5 Word 9	Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.	ADNI AVLT - List A Recall 5 Word 9
	AVL01-List A Recall 6 (After B) Total		C101996	AVL01-List A Recall 6 (After B) Total	Auditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).	ADNI AVLT - List A Recall 6 (After B) Total
	AVL01-List A Recall 6 (After B) Word 1		C101981	AVL01-List A Recall 6 (After B) Word 1	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.	ADNI AVLT - List A Recall 6 (After B) Word 1
	AVL01-List A Recall 6 (After B) Word 10		C101990	AVL01-List A Recall 6 (After B) Word 10	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.	ADNI AVLT - List A Recall 6 (After B) Word 10
	AVL01-List A Recall 6 (After B) Word 11		C101991	AVL01-List A Recall 6 (After B) Word 11	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.	ADNI AVLT - List A Recall 6 (After B) Word 11
	AVL01-List A Recall 6 (After B) Word 12		C101992	AVL01-List A Recall 6 (After B) Word 12	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.	ADNI AVLT - List A Recall 6 (After B) Word 12
	AVL01-List A Recall 6 (After B) Word 13		C101993	AVL01-List A Recall 6 (After B) Word 13	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.	ADNI AVLT - List A Recall 6 (After B) Word 13
	AVL01-List A Recall 6 (After B) Word 14		C101994	AVL01-List A Recall 6 (After B) Word 14	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.	ADNI AVLT - List A Recall 6 (After B) Word 14
	AVL01-List A Recall 6 (After B) Word 15		C101995	AVL01-List A Recall 6 (After B) Word 15	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.	ADNI AVLT - List A Recall 6 (After B) Word 15
	AVL01-List A Recall 6 (After B) Word 2		C101982	AVL01-List A Recall 6 (After B) Word 2	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.	ADNI AVLT - List A Recall 6 (After B) Word 2
	AVL01-List A Recall 6 (After B) Word 3		C101983	AVL01-List A Recall 6 (After B) Word 3	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.	ADNI AVLT - List A Recall 6 (After B) Word 3
	AVL01-List A Recall 6 (After B) Word 4		C101984	AVL01-List A Recall 6 (After B) Word 4	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.	ADNI AVLT - List A Recall 6 (After B) Word 4
	AVL01-List A Recall 6 (After B) Word 5		C101985	AVL01-List A Recall 6 (After B) Word 5	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.	ADNI AVLT - List A Recall 6 (After B) Word 5
	AVL01-List A Recall 6 (After B) Word 6		C101986	AVL01-List A Recall 6 (After B) Word 6	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.	ADNI AVLT - List A Recall 6 (After B) Word 6
	AVL01-List A Recall 6 (After B) Word 7		C101987	AVL01-List A Recall 6 (After B) Word 7	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.	ADNI AVLT - List A Recall 6 (After B) Word 7
	AVL01-List A Recall 6 (After B) Word 8		C101988	AVL01-List A Recall 6 (After B) Word 8	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.	ADNI AVLT - List A Recall 6 (After B) Word 8
	AVL01-List A Recall 6 (After B) Word 9		C101989	AVL01-List A Recall 6 (After B) Word 9	Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.	ADNI AVLT - List A Recall 6 (After B) Word 9
	AVL01-List A Recognition Intrusions		C102033	AVL01-List A Recognition Intrusions	Auditory Verbal Learning Test Version A - The number of intrusions on recognition test.	ADNI AVLT - List A Recognition Intrusions
	AVL01-List A Recognition Total		C102032	AVL01-List A Recognition Total	Auditory Verbal Learning Test Version A - The number of words correct on recognition test.	ADNI AVLT - List A Recognition Total
	AVL01-List B Intrusions		C102014	AVL01-List B Intrusions	Auditory Verbal Learning Test Version A - The number of intrusions while recalling List B.	ADNI AVLT - List B Intrusions
	AVL01-List B Recall Total		C102013	AVL01-List B Recall Total	Auditory Verbal Learning Test Version A - The number of words recalled from List B.	ADNI AVLT - List B Recall Total
	AVL01-List B Recall Word 1		C101998	AVL01-List B Recall Word 1	Auditory Verbal Learning Test Version A - List B, Word 1.	ADNI AVLT - List B Recall Word 1
	AVL01-List B Recall Word 10		C102007	AVL01-List B Recall Word 10	Auditory Verbal Learning Test Version A - List B, Word 10.	ADNI AVLT - List B Recall Word 10
	AVL01-List B Recall Word 11		C102008	AVL01-List B Recall Word 11	Auditory Verbal Learning Test Version A - List B, Word 11.	ADNI AVLT - List B Recall Word 11
	AVL01-List B Recall Word 12		C102009	AVL01-List B Recall Word 12	Auditory Verbal Learning Test Version A - List B, Word 12.	ADNI AVLT - List B Recall Word 12
	AVL01-List B Recall Word 13		C102010	AVL01-List B Recall Word 13	Auditory Verbal Learning Test Version A - List B, Word 13.	ADNI AVLT - List B Recall Word 13
	AVL01-List B Recall Word 14		C102011	AVL01-List B Recall Word 14	Auditory Verbal Learning Test Version A - List B, Word 14.	ADNI AVLT - List B Recall Word 14
	AVL01-List B Recall Word 15		C102012	AVL01-List B Recall Word 15	Auditory Verbal Learning Test Version A - List B, Word 15.	ADNI AVLT - List B Recall Word 15
	AVL01-List B Recall Word 2		C101999	AVL01-List B Recall Word 2	Auditory Verbal Learning Test Version A - List B, Word 2.	ADNI AVLT - List B Recall Word 2
	AVL01-List B Recall Word 3		C102000	AVL01-List B Recall Word 3	Auditory Verbal Learning Test Version A - List B, Word 3.	ADNI AVLT - List B Recall Word 3
	AVL01-List B Recall Word 4		C102001	AVL01-List B Recall Word 4	Auditory Verbal Learning Test Version A - List B, Word 4.	ADNI AVLT - List B Recall Word 4
	AVL01-List B Recall Word 5		C102002	AVL01-List B Recall Word 5	Auditory Verbal Learning Test Version A - List B, Word 5.	ADNI AVLT - List B Recall Word 5
	AVL01-List B Recall Word 6		C102003	AVL01-List B Recall Word 6	Auditory Verbal Learning Test Version A - List B, Word 6.	ADNI AVLT - List B Recall Word 6
	AVL01-List B Recall Word 7		C102004	AVL01-List B Recall Word 7	Auditory Verbal Learning Test Version A - List B, Word 7.	ADNI AVLT - List B Recall Word 7
	AVL01-List B Recall Word 8		C102005	AVL01-List B Recall Word 8	Auditory Verbal Learning Test Version A - List B, Word 8.	ADNI AVLT - List B Recall Word 8
	AVL01-List B Recall Word 9		C102006	AVL01-List B Recall Word 9	Auditory Verbal Learning Test Version A - List B, Word 9.	ADNI AVLT - List B Recall Word 9
Back to top
CL.C112435.AQ20 TESTCD	QS-Airway Questionnaire 20 Test Code (AQ20 TESTCD)	text Extensible: No	C112435	QS-Airway Questionnaire 20 Test Code	Airway Questionnaire 20 test code.	CDISC Questionnaire AQ20 Test Code Terminology
	AQ0101		C112529	AQ01-Cough Often During Day	Airway Questionnaire 20 - Do you cough often during the day?	AQ20 - Cough Often During the Day
	AQ0102		C112530	AQ01-Feel Restless Due to Chest Trouble	Airway Questionnaire 20 - Does your chest trouble often make you feel restless?	AQ20 - Chest Trouble Make You Feel Restless
	AQ0103		C112531	AQ01-Gardening Make You Breathless	Airway Questionnaire 20 - Does gardening make you breathless?	AQ20 - Gardening Make You Breathless
	AQ0104		C112532	AQ01-Chest Upset at Friend House	Airway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?	AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
	AQ0105		C112533	AQ01-Chest Prob Smell/Fume/Smoke/Perfume	Airway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?	AQ20 - Get Chest Problems When Contact With Strong Smells
	AQ0106		C112534	AQ01-Partner Upset by Your Chest Trouble	Airway Questionnaire 20 - Does your partner find your chest trouble upsetting?	AQ20 - Partner Find Your Chest Trouble Upsetting
	AQ0107		C112535	AQ01-Breathless When Trying to Sleep	Airway Questionnaire 20 - Do you feel breathless when trying to sleep?	AQ20 - Feel Breathless When Trying to Sleep
	AQ0108		C112536	AQ01-Long Term Effects of Drugs	Airway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?	AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
	AQ0109		C112537	AQ01-Emotional Upset Worse Chest Trouble	Airway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?	AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
	AQ0110		C112538	AQ01-Difficulty Getting Around the House	Airway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?	AQ20 - Difficulty Getting Around the House Because of Chest Trouble
	AQ0111		C112539	AQ01-Breathless Carry out Work Activity	Airway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).	AQ20 - Chest Problem Make You Breathless at Work
	AQ0112		C112540	AQ01-Breathless Walking Upstairs	Airway Questionnaire 20 - Does walking upstairs make you breathless?	AQ20 - Walking Upstairs Make You Breathless
	AQ0113		C112541	AQ01-Get Breathless Doing Housework	Airway Questionnaire 20 - Do you get breathless doing housework?	AQ20 - Get Breathless Doing Housework
	AQ0114		C112542	AQ01-Go Home Sooner Than Others	Airway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?	AQ20 - Chest Trouble Make You Go Home Sooner Than Others
	AQ0115		C112543	AQ01-Breathlessness When Laugh	Airway Questionnaire 20 - Do you suffer from breathlessness when you laugh?	AQ20 - Suffer From Breathlessness When Laugh
	AQ0116		C112544	AQ01-Impatient Due to Chest Trouble	Airway Questionnaire 20 - Does your chest trouble often make you feel impatient?	AQ20 - Chest Trouble Make You Feel Impatient
	AQ0117		C112545	AQ01-Full Life Limited by Chest Trouble	Airway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?	AQ20 - Fullness of Life is Limited by Chest Trouble
	AQ0118		C112546	AQ01-Drained After a Cold	Airway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?	AQ20 - Feel Drained After a Cold Because of Chest Trouble
	AQ0119		C112547	AQ01-Feeling of Chest Heaviness	Airway Questionnaire 20 - Do you have a feeling of chest heaviness?	AQ20 - Feeling of Chest Heaviness
	AQ0120		C112548	AQ01-Worry About Chest Trouble	Airway Questionnaire 20 - Do you worry a lot about your chest trouble?	AQ20 - Worry a Lot About Chest Trouble
Back to top
CL.C112434.AQ20 TEST	QS-Airway Questionnaire 20 Test Name (AQ20 TEST)	text Extensible: No	C112434	QS-Airway Questionnaire 20 Test Name	Airway Questionnaire 20 test name.	CDISC Questionnaire AQ20 Test Name Terminology
	AQ01-Breathless Carry out Work Activity		C112539	AQ01-Breathless Carry out Work Activity	Airway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).	AQ20 - Chest Problem Make You Breathless at Work
	AQ01-Breathless Walking Upstairs		C112540	AQ01-Breathless Walking Upstairs	Airway Questionnaire 20 - Does walking upstairs make you breathless?	AQ20 - Walking Upstairs Make You Breathless
	AQ01-Breathless When Trying to Sleep		C112535	AQ01-Breathless When Trying to Sleep	Airway Questionnaire 20 - Do you feel breathless when trying to sleep?	AQ20 - Feel Breathless When Trying to Sleep
	AQ01-Breathlessness When Laugh		C112543	AQ01-Breathlessness When Laugh	Airway Questionnaire 20 - Do you suffer from breathlessness when you laugh?	AQ20 - Suffer From Breathlessness When Laugh
	AQ01-Chest Prob Smell/Fume/Smoke/Perfume		C112533	AQ01-Chest Prob Smell/Fume/Smoke/Perfume	Airway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?	AQ20 - Get Chest Problems When Contact With Strong Smells
	AQ01-Chest Upset at Friend House		C112532	AQ01-Chest Upset at Friend House	Airway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?	AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
	AQ01-Cough Often During Day		C112529	AQ01-Cough Often During Day	Airway Questionnaire 20 - Do you cough often during the day?	AQ20 - Cough Often During the Day
	AQ01-Difficulty Getting Around the House		C112538	AQ01-Difficulty Getting Around the House	Airway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?	AQ20 - Difficulty Getting Around the House Because of Chest Trouble
	AQ01-Drained After a Cold		C112546	AQ01-Drained After a Cold	Airway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?	AQ20 - Feel Drained After a Cold Because of Chest Trouble
	AQ01-Emotional Upset Worse Chest Trouble		C112537	AQ01-Emotional Upset Worse Chest Trouble	Airway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?	AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
	AQ01-Feel Restless Due to Chest Trouble		C112530	AQ01-Feel Restless Due to Chest Trouble	Airway Questionnaire 20 - Does your chest trouble often make you feel restless?	AQ20 - Chest Trouble Make You Feel Restless
	AQ01-Feeling of Chest Heaviness		C112547	AQ01-Feeling of Chest Heaviness	Airway Questionnaire 20 - Do you have a feeling of chest heaviness?	AQ20 - Feeling of Chest Heaviness
	AQ01-Full Life Limited by Chest Trouble		C112545	AQ01-Full Life Limited by Chest Trouble	Airway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?	AQ20 - Fullness of Life is Limited by Chest Trouble
	AQ01-Gardening Make You Breathless		C112531	AQ01-Gardening Make You Breathless	Airway Questionnaire 20 - Does gardening make you breathless?	AQ20 - Gardening Make You Breathless
	AQ01-Get Breathless Doing Housework		C112541	AQ01-Get Breathless Doing Housework	Airway Questionnaire 20 - Do you get breathless doing housework?	AQ20 - Get Breathless Doing Housework
	AQ01-Go Home Sooner Than Others		C112542	AQ01-Go Home Sooner Than Others	Airway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?	AQ20 - Chest Trouble Make You Go Home Sooner Than Others
	AQ01-Impatient Due to Chest Trouble		C112544	AQ01-Impatient Due to Chest Trouble	Airway Questionnaire 20 - Does your chest trouble often make you feel impatient?	AQ20 - Chest Trouble Make You Feel Impatient
	AQ01-Long Term Effects of Drugs		C112536	AQ01-Long Term Effects of Drugs	Airway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?	AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
	AQ01-Partner Upset by Your Chest Trouble		C112534	AQ01-Partner Upset by Your Chest Trouble	Airway Questionnaire 20 - Does your partner find your chest trouble upsetting?	AQ20 - Partner Find Your Chest Trouble Upsetting
	AQ01-Worry About Chest Trouble		C112548	AQ01-Worry About Chest Trouble	Airway Questionnaire 20 - Do you worry a lot about your chest trouble?	AQ20 - Worry a Lot About Chest Trouble
Back to top
CL.C119062.AUDIT-C TESTCD	QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code (AUDIT-C TESTCD)	text Extensible: No	C119062	QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code	Alcohol Use Disorder Identification Test-Consumption Questions test code.	CDISC Questionnaire AUDIT-C Test Code Terminology
	ADTC0101		C119119	ADTC01-How Often Drink Alcohol	Alcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol?	AUDIT-C - How Often Have Alcohol Drink
	ADTC0102		C119120	ADTC01-Alcohol Drinks on a Typical Day	Alcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day?	AUDIT-C - How Many Alcohol Drinks on a Typical Day
	ADTC0103		C119121	ADTC01-Six or More Drinks One Occasion	Alcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion?	AUDIT-C - How Often Have Six or More Drinks
Back to top
CL.C119061.AUDIT-C TEST	QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name (AUDIT-C TEST)	text Extensible: No	C119061	QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name	Alcohol Use Disorder Identification Test-Consumption Questions test name.	CDISC Questionnaire AUDIT-C Test Name Terminology
	ADTC01-Alcohol Drinks on a Typical Day		C119120	ADTC01-Alcohol Drinks on a Typical Day	Alcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day?	AUDIT-C - How Many Alcohol Drinks on a Typical Day
	ADTC01-How Often Drink Alcohol		C119119	ADTC01-How Often Drink Alcohol	Alcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol?	AUDIT-C - How Often Have Alcohol Drink
	ADTC01-Six or More Drinks One Occasion		C119121	ADTC01-Six or More Drinks One Occasion	Alcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion?	AUDIT-C - How Often Have Six or More Drinks
Back to top
CL.C119060.AUDIT-SR TESTCD	QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code (AUDIT-SR TESTCD)	text Extensible: No	C119060	QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code	Alcohol Use Disorder Identification Test: Self-Report Version test code.	CDISC Questionnaire AUDIT-SR Test Code Terminology
	ADT0101		C119108	ADT01-How Often Drink Alcohol	Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol?	AUDIT - How Often Have Alcohol Drink
	ADT0102		C119109	ADT01-Alcohol Drinks on a Typical Day	Alcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking?	AUDIT - How Many Alcohol Drinks on a Typical Day
	ADT0103		C119110	ADT01-Six or More Drinks One Occasion	Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion?	AUDIT - How Often Have Six or More Drinks
	ADT0104		C119111	ADT01-Not Able Stop Drinking Once Start	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started?	AUDIT - How Often Last Year You Found Not Able to Stop Drinking
	ADT0105		C119112	ADT01-Failed to Do as Expected	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking?	AUDIT - How Often Last Year You Failed to Do Normally Expected of You
	ADT0106		C119113	ADT01-Need Drink Morning After Drinking	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?	AUDIT - How Often Last Year Need a Drink in the Morning to Get Going
	ADT0107		C119114	ADT01-Feeling of Guilt or Remorse	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking?	AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking
	ADT0108		C119115	ADT01-Unable to Remember What Happened	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking?	AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before
	ADT0109		C119116	ADT01-Injured Because of Your Drinking	Alcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking?	AUDIT - Injured Because of Drinking
	ADT0110		C119117	ADT01-Suggested to Cut Down	Alcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?	AUDIT - Concerned About Your Drinking
	ADT0111		C119118	ADT01-Total	Alcohol Use Disorder Identification Test: Self-Report Version - Total.	AUDIT - Total
Back to top
CL.C119059.AUDIT-SR TEST	QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name (AUDIT-SR TEST)	text Extensible: No	C119059	QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name	Alcohol Use Disorder Identification Test: Self-Report Version test name.	CDISC Questionnaire AUDIT-SR Test Name Terminology
	ADT01-Alcohol Drinks on a Typical Day		C119109	ADT01-Alcohol Drinks on a Typical Day	Alcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking?	AUDIT - How Many Alcohol Drinks on a Typical Day
	ADT01-Failed to Do as Expected		C119112	ADT01-Failed to Do as Expected	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking?	AUDIT - How Often Last Year You Failed to Do Normally Expected of You
	ADT01-Feeling of Guilt or Remorse		C119114	ADT01-Feeling of Guilt or Remorse	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking?	AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking
	ADT01-How Often Drink Alcohol		C119108	ADT01-How Often Drink Alcohol	Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol?	AUDIT - How Often Have Alcohol Drink
	ADT01-Injured Because of Your Drinking		C119116	ADT01-Injured Because of Your Drinking	Alcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking?	AUDIT - Injured Because of Drinking
	ADT01-Need Drink Morning After Drinking		C119113	ADT01-Need Drink Morning After Drinking	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?	AUDIT - How Often Last Year Need a Drink in the Morning to Get Going
	ADT01-Not Able Stop Drinking Once Start		C119111	ADT01-Not Able Stop Drinking Once Start	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started?	AUDIT - How Often Last Year You Found Not Able to Stop Drinking
	ADT01-Six or More Drinks One Occasion		C119110	ADT01-Six or More Drinks One Occasion	Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion?	AUDIT - How Often Have Six or More Drinks
	ADT01-Suggested to Cut Down		C119117	ADT01-Suggested to Cut Down	Alcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?	AUDIT - Concerned About Your Drinking
	ADT01-Total		C119118	ADT01-Total	Alcohol Use Disorder Identification Test: Self-Report Version - Total.	AUDIT - Total
	ADT01-Unable to Remember What Happened		C119115	ADT01-Unable to Remember What Happened	Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking?	AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before
Back to top
CL.C100132.ADAS-Cog CDISC Version TESTCD	QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code (ADAS-Cog CDISC Version TESTCD)	text Extensible: No	C100132	QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code	ADAS-Cog CDISC Version test code.	CDISC Questionnaire ADAS-Cog CDISC Version Test Code Terminology
	ADCCMD		C100209	Commands	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.	CDISC ADAS-Cog - Commands Summary Score
	ADCCMD01		C100210	Commands: Fist	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.	CDISC ADAS-Cog - Commands: Fist
	ADCCMD02		C100211	Commands: Ceiling	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.	CDISC ADAS-Cog - Commands: Ceiling
	ADCCMD03		C100212	Commands: Pencil	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.	CDISC ADAS-Cog - Commands: Pencil
	ADCCMD04		C100213	Commands: Watch	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.	CDISC ADAS-Cog - Commands: Watch
	ADCCMD05		C100214	Commands: Shoulder	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.	CDISC ADAS-Cog - Commands: Shoulder
	ADCCMP		C100278	Comprehension	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.	CDISC ADAS-Cog - Comprehension
	ADCCON		C100279	Concentration/Distractibility	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.	CDISC ADAS-Cog - Concentration/Distractibility
	ADCCP		C100226	Constructional Praxis	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.	CDISC ADAS-Cog - Constructional Praxis Summary Score
	ADCCP01		C100227	Constructional Praxis: Circle	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.	CDISC ADAS-Cog - Constructional Praxis: Circle
	ADCCP02		C100228	Constructional Praxis: 2 Rectangles	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.	CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
	ADCCP03		C100229	Constructional Praxis: Diamond	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.	CDISC ADAS-Cog - Constructional Praxis: Diamond
	ADCCP04		C100230	Constructional Praxis: Cube	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.	CDISC ADAS-Cog - Constructional Praxis: Cube
	ADCCPS		C100231	Attempt to Draw	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.	CDISC ADAS-Cog - Attempt to Draw
	ADCDIF		C100277	Word Finding Difficulty in Spont Speech	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.	CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
	ADCDRL		C100215	Delayed Word Recall	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.	CDISC ADAS-Cog - Delayed Word Recall Summary Score
	ADCDRL01		C100216	Delayed Word Recall: Word [1]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.	CDISC ADAS-Cog - Delayed Word Recall: Word 1
	ADCDRL02		C100217	Delayed Word Recall: Word [2]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.	CDISC ADAS-Cog - Delayed Word Recall: Word 2
	ADCDRL03		C100218	Delayed Word Recall: Word [3]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.	CDISC ADAS-Cog - Delayed Word Recall: Word 3
	ADCDRL04		C100219	Delayed Word Recall: Word [4]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.	CDISC ADAS-Cog - Delayed Word Recall: Word 4
	ADCDRL05		C100220	Delayed Word Recall: Word [5]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.	CDISC ADAS-Cog - Delayed Word Recall: Word 5
	ADCDRL06		C100221	Delayed Word Recall: Word [6]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.	CDISC ADAS-Cog - Delayed Word Recall: Word 6
	ADCDRL07		C100222	Delayed Word Recall: Word [7]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.	CDISC ADAS-Cog - Delayed Word Recall: Word 7
	ADCDRL08		C100223	Delayed Word Recall: Word [8]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.	CDISC ADAS-Cog - Delayed Word Recall: Word 8
	ADCDRL09		C100224	Delayed Word Recall: Word [9]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.	CDISC ADAS-Cog - Delayed Word Recall: Word 9
	ADCDRL10		C100225	Delayed Word Recall: Word [10]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.	CDISC ADAS-Cog - Delayed Word Recall: Word 10
	ADCIP		C100232	Ideational Praxis	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.	CDISC ADAS-Cog - Ideational Praxis Summary Score
	ADCIP01		C100233	Ideational Praxis: Fold	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.	CDISC ADAS-Cog - Ideational Praxis: Fold
	ADCIP02		C100234	Ideational Praxis: Insert	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.	CDISC ADAS-Cog - Ideational Praxis: Insert
	ADCIP03		C100235	Ideational Praxis: Seal	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.	CDISC ADAS-Cog - Ideational Praxis: Seal
	ADCIP04		C100236	Ideational Praxis: Address	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.	CDISC ADAS-Cog - Ideational Praxis: Address
	ADCIP05		C100237	Ideational Praxis: Stamp	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.	CDISC ADAS-Cog - Ideational Praxis: Stamp
	ADCMZ		C100284	Executive Function Maze	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.	CDISC ADAS-Cog - Executive Function Maze Summary Score
	ADCMZ01		C100285	Executive Function Maze: Errors	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.	CDISC ADAS-Cog - Executive Function Maze: Errors
	ADCMZ02		C100286	Executive Function Maze: Time	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.	CDISC ADAS-Cog - Executive Function Maze: Time
	ADCNC		C100280	Number Cancellation	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.	CDISC ADAS-Cog - Number Cancellation Summary Score
	ADCNC01		C100281	Number Cancellation: Correct	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.	CDISC ADAS-Cog - Number Cancellation: Correct
	ADCNC02		C100282	Number Cancellation: Errors	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.	CDISC ADAS-Cog - Number Cancellation: Errors
	ADCNC03		C100283	Number Cancellation: Remind	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.	CDISC ADAS-Cog - Number Cancellation: Remind
	ADCOF		C100191	Naming Objects and Fingers	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.	CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
	ADCOFF01		C100204	Naming Objects and Fingers: Thumb	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.	CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
	ADCOFF02		C100205	Naming Objects and Fingers: Pointer	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.	CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
	ADCOFF03		C100206	Naming Objects and Fingers: Middle	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.	CDISC ADAS-Cog - Naming Objects and Fingers: Middle
	ADCOFF04		C100207	Naming Objects and Fingers: Ring	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.	CDISC ADAS-Cog - Naming Objects and Fingers: Ring
	ADCOFF05		C100208	Naming Objects and Fingers: Pinky	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.	CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
	ADCOFO01		C100192	Naming Objects and Fingers: 1	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.	CDISC ADAS-Cog - Naming Objects and Fingers: 1
	ADCOFO02		C100193	Naming Objects and Fingers: 2	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.	CDISC ADAS-Cog - Naming Objects and Fingers: 2
	ADCOFO03		C100194	Naming Objects and Fingers: 3	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.	CDISC ADAS-Cog - Naming Objects and Fingers: 3
	ADCOFO04		C100195	Naming Objects and Fingers: 4	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.	CDISC ADAS-Cog - Naming Objects and Fingers: 4
	ADCOFO05		C100196	Naming Objects and Fingers: 5	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.	CDISC ADAS-Cog - Naming Objects and Fingers: 5
	ADCOFO06		C100197	Naming Objects and Fingers: 6	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.	CDISC ADAS-Cog - Naming Objects and Fingers: 6
	ADCOFO07		C100198	Naming Objects and Fingers: 7	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.	CDISC ADAS-Cog - Naming Objects and Fingers: 7
	ADCOFO08		C100199	Naming Objects and Fingers: 8	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.	CDISC ADAS-Cog - Naming Objects and Fingers: 8
	ADCOFO09		C100200	Naming Objects and Fingers: 9	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.	CDISC ADAS-Cog - Naming Objects and Fingers: 9
	ADCOFO10		C100201	Naming Objects and Fingers: 10	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.	CDISC ADAS-Cog - Naming Objects and Fingers: 10
	ADCOFO11		C100202	Naming Objects and Fingers: 11	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.	CDISC ADAS-Cog - Naming Objects and Fingers: 11
	ADCOFO12		C100203	Naming Objects and Fingers: 12	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.	CDISC ADAS-Cog - Naming Objects and Fingers: 12
	ADCOR		C100238	Orientation	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.	CDISC ADAS-Cog - Orientation Summary Score
	ADCOR01		C100239	Orientation: Full Name	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.	CDISC ADAS-Cog - Orientation: Full Name
	ADCOR02		C100240	Orientation: Month	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.	CDISC ADAS-Cog - Orientation: Month
	ADCOR03		C100241	Orientation: Date	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.	CDISC ADAS-Cog - Orientation: Date
	ADCOR04		C100242	Orientation: Year	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.	CDISC ADAS-Cog - Orientation: Year
	ADCOR05		C100243	Orientation: Day of Week	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.	CDISC ADAS-Cog - Orientation: Day of Week
	ADCOR06		C100244	Orientation: Season	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.	CDISC ADAS-Cog - Orientation: Season
	ADCOR07		C100245	Orientation: Place	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.	CDISC ADAS-Cog - Orientation: Place
	ADCOR08		C100246	Orientation: Time	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.	CDISC ADAS-Cog - Orientation: Time
	ADCRG		C100247	Word Recognition	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.	CDISC ADAS-Cog - Word Recognition Summary Score
	ADCRGT01		C100248	Word Recognition Trial 1	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.	CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
	ADCRGT02		C100249	Word Recognition Trial 2	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.	CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
	ADCRGT03		C100250	Word Recognition Trial 3	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.	CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
	ADCRGW01		C100251	Word Recognition: Word [1]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 1
	ADCRGW02		C100252	Word Recognition: Word [2]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 2
	ADCRGW03		C100253	Word Recognition: Word [3]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 3
	ADCRGW04		C100254	Word Recognition: Word [4]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 4
	ADCRGW05		C100255	Word Recognition: Word [5]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 5
	ADCRGW06		C100256	Word Recognition: Word [6]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 6
	ADCRGW07		C100257	Word Recognition: Word [7]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 7
	ADCRGW08		C100258	Word Recognition: Word [8]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 8
	ADCRGW09		C100259	Word Recognition: Word [9]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 9
	ADCRGW10		C100260	Word Recognition: Word [10]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 10
	ADCRGW11		C100261	Word Recognition: Word [11]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 11
	ADCRGW12		C100262	Word Recognition: Word [12]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 12
	ADCRGW13		C100263	Word Recognition: Word [13]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 13
	ADCRGW14		C100264	Word Recognition: Word [14]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 14
	ADCRGW15		C100265	Word Recognition: Word [15]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 15
	ADCRGW16		C100266	Word Recognition: Word [16]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 16
	ADCRGW17		C100267	Word Recognition: Word [17]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 17
	ADCRGW18		C100268	Word Recognition: Word [18]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 18
	ADCRGW19		C100269	Word Recognition: Word [19]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 19
	ADCRGW20		C100270	Word Recognition: Word [20]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 20
	ADCRGW21		C100271	Word Recognition: Word [21]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 21
	ADCRGW22		C100272	Word Recognition: Word [22]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 22
	ADCRGW23		C100273	Word Recognition: Word [23]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 23
	ADCRGW24		C100274	Word Recognition: Word [24]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 24
	ADCRI		C100275	Remembering Test Instructions	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.	CDISC ADAS-Cog - Remembering Test Instructions
	ADCRL		C100177	Word Recall	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.	CDISC ADAS-Cog - Word Recall Average Score
	ADCRLT01		C100178	Word Recall Trial 1	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.	CDISC ADAS-Cog - Word Recall Trial 1 Subscore
	ADCRLT02		C100179	Word Recall Trial 2	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.	CDISC ADAS-Cog - Word Recall Trial 2 Subscore
	ADCRLT03		C100180	Word Recall Trial 3	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.	CDISC ADAS-Cog - Word Recall Trial 3 Subscore
	ADCRLW01		C100181	Word Recall: Word [1]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 1
	ADCRLW02		C100182	Word Recall: Word [2]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 2
	ADCRLW03		C100183	Word Recall: Word [3]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 3
	ADCRLW04		C100184	Word Recall: Word [4]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 4
	ADCRLW05		C100185	Word Recall: Word [5]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 5
	ADCRLW06		C100186	Word Recall: Word [6]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 6
	ADCRLW07		C100187	Word Recall: Word [7]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 7
	ADCRLW08		C100188	Word Recall: Word [8]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 8
	ADCRLW09		C100189	Word Recall: Word [9]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 9
	ADCRLW10		C100190	Word Recall: Word [10]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 10
	ADCSL		C100276	Spoken Language Ability	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.	CDISC ADAS-Cog - Spoken Language Ability
Back to top
CL.C100131.ADAS-Cog CDISC Version TEST	QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name (ADAS-Cog CDISC Version TEST)	text Extensible: No	C100131	QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name	ADAS-Cog CDISC Version test name.	CDISC Questionnaire ADAS-Cog CDISC Version Test Name Terminology
	Attempt to Draw		C100231	Attempt to Draw	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.	CDISC ADAS-Cog - Attempt to Draw
	Commands		C100209	Commands	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.	CDISC ADAS-Cog - Commands Summary Score
	Commands: Ceiling		C100211	Commands: Ceiling	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.	CDISC ADAS-Cog - Commands: Ceiling
	Commands: Fist		C100210	Commands: Fist	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.	CDISC ADAS-Cog - Commands: Fist
	Commands: Pencil		C100212	Commands: Pencil	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.	CDISC ADAS-Cog - Commands: Pencil
	Commands: Shoulder		C100214	Commands: Shoulder	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.	CDISC ADAS-Cog - Commands: Shoulder
	Commands: Watch		C100213	Commands: Watch	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.	CDISC ADAS-Cog - Commands: Watch
	Comprehension		C100278	Comprehension	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.	CDISC ADAS-Cog - Comprehension
	Concentration/Distractibility		C100279	Concentration/Distractibility	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.	CDISC ADAS-Cog - Concentration/Distractibility
	Constructional Praxis		C100226	Constructional Praxis	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.	CDISC ADAS-Cog - Constructional Praxis Summary Score
	Constructional Praxis: 2 Rectangles		C100228	Constructional Praxis: 2 Rectangles	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.	CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
	Constructional Praxis: Circle		C100227	Constructional Praxis: Circle	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.	CDISC ADAS-Cog - Constructional Praxis: Circle
	Constructional Praxis: Cube		C100230	Constructional Praxis: Cube	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.	CDISC ADAS-Cog - Constructional Praxis: Cube
	Constructional Praxis: Diamond		C100229	Constructional Praxis: Diamond	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.	CDISC ADAS-Cog - Constructional Praxis: Diamond
	Delayed Word Recall		C100215	Delayed Word Recall	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.	CDISC ADAS-Cog - Delayed Word Recall Summary Score
	Delayed Word Recall: Word [10]		C100225	Delayed Word Recall: Word [10]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.	CDISC ADAS-Cog - Delayed Word Recall: Word 10
	Delayed Word Recall: Word [1]		C100216	Delayed Word Recall: Word [1]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.	CDISC ADAS-Cog - Delayed Word Recall: Word 1
	Delayed Word Recall: Word [2]		C100217	Delayed Word Recall: Word [2]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.	CDISC ADAS-Cog - Delayed Word Recall: Word 2
	Delayed Word Recall: Word [3]		C100218	Delayed Word Recall: Word [3]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.	CDISC ADAS-Cog - Delayed Word Recall: Word 3
	Delayed Word Recall: Word [4]		C100219	Delayed Word Recall: Word [4]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.	CDISC ADAS-Cog - Delayed Word Recall: Word 4
	Delayed Word Recall: Word [5]		C100220	Delayed Word Recall: Word [5]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.	CDISC ADAS-Cog - Delayed Word Recall: Word 5
	Delayed Word Recall: Word [6]		C100221	Delayed Word Recall: Word [6]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.	CDISC ADAS-Cog - Delayed Word Recall: Word 6
	Delayed Word Recall: Word [7]		C100222	Delayed Word Recall: Word [7]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.	CDISC ADAS-Cog - Delayed Word Recall: Word 7
	Delayed Word Recall: Word [8]		C100223	Delayed Word Recall: Word [8]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.	CDISC ADAS-Cog - Delayed Word Recall: Word 8
	Delayed Word Recall: Word [9]		C100224	Delayed Word Recall: Word [9]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.	CDISC ADAS-Cog - Delayed Word Recall: Word 9
	Executive Function Maze		C100284	Executive Function Maze	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.	CDISC ADAS-Cog - Executive Function Maze Summary Score
	Executive Function Maze: Errors		C100285	Executive Function Maze: Errors	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.	CDISC ADAS-Cog - Executive Function Maze: Errors
	Executive Function Maze: Time		C100286	Executive Function Maze: Time	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.	CDISC ADAS-Cog - Executive Function Maze: Time
	Ideational Praxis		C100232	Ideational Praxis	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.	CDISC ADAS-Cog - Ideational Praxis Summary Score
	Ideational Praxis: Address		C100236	Ideational Praxis: Address	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.	CDISC ADAS-Cog - Ideational Praxis: Address
	Ideational Praxis: Fold		C100233	Ideational Praxis: Fold	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.	CDISC ADAS-Cog - Ideational Praxis: Fold
	Ideational Praxis: Insert		C100234	Ideational Praxis: Insert	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.	CDISC ADAS-Cog - Ideational Praxis: Insert
	Ideational Praxis: Seal		C100235	Ideational Praxis: Seal	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.	CDISC ADAS-Cog - Ideational Praxis: Seal
	Ideational Praxis: Stamp		C100237	Ideational Praxis: Stamp	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.	CDISC ADAS-Cog - Ideational Praxis: Stamp
	Naming Objects and Fingers		C100191	Naming Objects and Fingers	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.	CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
	Naming Objects and Fingers: 1		C100192	Naming Objects and Fingers: 1	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.	CDISC ADAS-Cog - Naming Objects and Fingers: 1
	Naming Objects and Fingers: 10		C100201	Naming Objects and Fingers: 10	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.	CDISC ADAS-Cog - Naming Objects and Fingers: 10
	Naming Objects and Fingers: 11		C100202	Naming Objects and Fingers: 11	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.	CDISC ADAS-Cog - Naming Objects and Fingers: 11
	Naming Objects and Fingers: 12		C100203	Naming Objects and Fingers: 12	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.	CDISC ADAS-Cog - Naming Objects and Fingers: 12
	Naming Objects and Fingers: 2		C100193	Naming Objects and Fingers: 2	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.	CDISC ADAS-Cog - Naming Objects and Fingers: 2
	Naming Objects and Fingers: 3		C100194	Naming Objects and Fingers: 3	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.	CDISC ADAS-Cog - Naming Objects and Fingers: 3
	Naming Objects and Fingers: 4		C100195	Naming Objects and Fingers: 4	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.	CDISC ADAS-Cog - Naming Objects and Fingers: 4
	Naming Objects and Fingers: 5		C100196	Naming Objects and Fingers: 5	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.	CDISC ADAS-Cog - Naming Objects and Fingers: 5
	Naming Objects and Fingers: 6		C100197	Naming Objects and Fingers: 6	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.	CDISC ADAS-Cog - Naming Objects and Fingers: 6
	Naming Objects and Fingers: 7		C100198	Naming Objects and Fingers: 7	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.	CDISC ADAS-Cog - Naming Objects and Fingers: 7
	Naming Objects and Fingers: 8		C100199	Naming Objects and Fingers: 8	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.	CDISC ADAS-Cog - Naming Objects and Fingers: 8
	Naming Objects and Fingers: 9		C100200	Naming Objects and Fingers: 9	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.	CDISC ADAS-Cog - Naming Objects and Fingers: 9
	Naming Objects and Fingers: Middle		C100206	Naming Objects and Fingers: Middle	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.	CDISC ADAS-Cog - Naming Objects and Fingers: Middle
	Naming Objects and Fingers: Pinky		C100208	Naming Objects and Fingers: Pinky	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.	CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
	Naming Objects and Fingers: Pointer		C100205	Naming Objects and Fingers: Pointer	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.	CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
	Naming Objects and Fingers: Ring		C100207	Naming Objects and Fingers: Ring	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.	CDISC ADAS-Cog - Naming Objects and Fingers: Ring
	Naming Objects and Fingers: Thumb		C100204	Naming Objects and Fingers: Thumb	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.	CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
	Number Cancellation		C100280	Number Cancellation	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.	CDISC ADAS-Cog - Number Cancellation Summary Score
	Number Cancellation: Correct		C100281	Number Cancellation: Correct	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.	CDISC ADAS-Cog - Number Cancellation: Correct
	Number Cancellation: Errors		C100282	Number Cancellation: Errors	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.	CDISC ADAS-Cog - Number Cancellation: Errors
	Number Cancellation: Remind		C100283	Number Cancellation: Remind	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.	CDISC ADAS-Cog - Number Cancellation: Remind
	Orientation		C100238	Orientation	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.	CDISC ADAS-Cog - Orientation Summary Score
	Orientation: Date		C100241	Orientation: Date	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.	CDISC ADAS-Cog - Orientation: Date
	Orientation: Day of Week		C100243	Orientation: Day of Week	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.	CDISC ADAS-Cog - Orientation: Day of Week
	Orientation: Full Name		C100239	Orientation: Full Name	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.	CDISC ADAS-Cog - Orientation: Full Name
	Orientation: Month		C100240	Orientation: Month	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.	CDISC ADAS-Cog - Orientation: Month
	Orientation: Place		C100245	Orientation: Place	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.	CDISC ADAS-Cog - Orientation: Place
	Orientation: Season		C100244	Orientation: Season	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.	CDISC ADAS-Cog - Orientation: Season
	Orientation: Time		C100246	Orientation: Time	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.	CDISC ADAS-Cog - Orientation: Time
	Orientation: Year		C100242	Orientation: Year	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.	CDISC ADAS-Cog - Orientation: Year
	Remembering Test Instructions		C100275	Remembering Test Instructions	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.	CDISC ADAS-Cog - Remembering Test Instructions
	Spoken Language Ability		C100276	Spoken Language Ability	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.	CDISC ADAS-Cog - Spoken Language Ability
	Word Finding Difficulty in Spont Speech		C100277	Word Finding Difficulty in Spont Speech	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.	CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
	Word Recall		C100177	Word Recall	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.	CDISC ADAS-Cog - Word Recall Average Score
	Word Recall Trial 1		C100178	Word Recall Trial 1	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.	CDISC ADAS-Cog - Word Recall Trial 1 Subscore
	Word Recall Trial 2		C100179	Word Recall Trial 2	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.	CDISC ADAS-Cog - Word Recall Trial 2 Subscore
	Word Recall Trial 3		C100180	Word Recall Trial 3	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.	CDISC ADAS-Cog - Word Recall Trial 3 Subscore
	Word Recall: Word [10]		C100190	Word Recall: Word [10]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 10
	Word Recall: Word [1]		C100181	Word Recall: Word [1]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 1
	Word Recall: Word [2]		C100182	Word Recall: Word [2]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 2
	Word Recall: Word [3]		C100183	Word Recall: Word [3]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 3
	Word Recall: Word [4]		C100184	Word Recall: Word [4]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 4
	Word Recall: Word [5]		C100185	Word Recall: Word [5]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 5
	Word Recall: Word [6]		C100186	Word Recall: Word [6]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 6
	Word Recall: Word [7]		C100187	Word Recall: Word [7]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 7
	Word Recall: Word [8]		C100188	Word Recall: Word [8]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 8
	Word Recall: Word [9]		C100189	Word Recall: Word [9]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.	CDISC ADAS-Cog - Word Recall: Word 9
	Word Recognition		C100247	Word Recognition	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.	CDISC ADAS-Cog - Word Recognition Summary Score
	Word Recognition Trial 1		C100248	Word Recognition Trial 1	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.	CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
	Word Recognition Trial 2		C100249	Word Recognition Trial 2	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.	CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
	Word Recognition Trial 3		C100250	Word Recognition Trial 3	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.	CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
	Word Recognition: Word [10]		C100260	Word Recognition: Word [10]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 10
	Word Recognition: Word [11]		C100261	Word Recognition: Word [11]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 11
	Word Recognition: Word [12]		C100262	Word Recognition: Word [12]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 12
	Word Recognition: Word [13]		C100263	Word Recognition: Word [13]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 13
	Word Recognition: Word [14]		C100264	Word Recognition: Word [14]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 14
	Word Recognition: Word [15]		C100265	Word Recognition: Word [15]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 15
	Word Recognition: Word [16]		C100266	Word Recognition: Word [16]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 16
	Word Recognition: Word [17]		C100267	Word Recognition: Word [17]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 17
	Word Recognition: Word [18]		C100268	Word Recognition: Word [18]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 18
	Word Recognition: Word [19]		C100269	Word Recognition: Word [19]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 19
	Word Recognition: Word [1]		C100251	Word Recognition: Word [1]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 1
	Word Recognition: Word [20]		C100270	Word Recognition: Word [20]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 20
	Word Recognition: Word [21]		C100271	Word Recognition: Word [21]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 21
	Word Recognition: Word [22]		C100272	Word Recognition: Word [22]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 22
	Word Recognition: Word [23]		C100273	Word Recognition: Word [23]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 23
	Word Recognition: Word [24]		C100274	Word Recognition: Word [24]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 24
	Word Recognition: Word [2]		C100252	Word Recognition: Word [2]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 2
	Word Recognition: Word [3]		C100253	Word Recognition: Word [3]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 3
	Word Recognition: Word [4]		C100254	Word Recognition: Word [4]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 4
	Word Recognition: Word [5]		C100255	Word Recognition: Word [5]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 5
	Word Recognition: Word [6]		C100256	Word Recognition: Word [6]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 6
	Word Recognition: Word [7]		C100257	Word Recognition: Word [7]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 7
	Word Recognition: Word [8]		C100258	Word Recognition: Word [8]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 8
	Word Recognition: Word [9]		C100259	Word Recognition: Word [9]	Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.	CDISC ADAS-Cog - Word Recognition: Word 9
Back to top
CL.C106651.ADCS-ADL MCI TESTCD	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code (ADCS-ADL MCI TESTCD)	text Extensible: No	C106651	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test code.	CDISC Questionnaire ADCS-ADL MCI Test Code Terminology
	ADL0301		C106891	ADL03-Find Personal Belongings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?	ADCS-ADL MCI - Find Personal Belongings
	ADL0301A		C106892	ADL03-Find Belongings Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
	ADL0302		C106893	ADL03-Select First Clothes for the Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?	ADCS-ADL MCI - Select First Clothes for the Day
	ADL0302A		C106894	ADL03-Usual Dressing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.	ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
	ADL0303		C106895	ADL03-Usual Physically Dressing Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.	ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
	ADL0304		C106896	ADL03-Clean Room	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?	ADCS-ADL MCI - Clean Room
	ADL0304A		C106897	ADL03-Clean Room Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
	ADL0305		C106898	ADL03-Balance Checkbook	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?	ADCS-ADL MCI - Balance Checkbook
	ADL0305A		C106899	ADL03-Balance Checkbook Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
	ADL0306		C106900	ADL03-Write Things Down	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?	ADCS-ADL MCI - Write Things Down
	ADL0306A		C106901	ADL03-Most Complicated Writings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.	ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
	ADL0307		C106902	ADL03-Clean Laundry	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?	ADCS-ADL MCI - Clean Laundry
	ADL0307A		C106903	ADL03-Laundry Cleaning Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
	ADL0308		C106904	ADL03-Keep Appointments	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?	ADCS-ADL MCI - Keep Appointments
	ADL0308A		C106905	ADL03-Aware of Appointment Ahead of Time	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.	ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
	ADL0309		C106906	ADL03-Use a Telephone	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?	ADCS-ADL MCI - Use a Telephone
	ADL0309A		C106907	ADL03-Highest Telephone Use Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.	ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
	ADL0310		C106908	ADL03-Make a Meal	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?	ADCS-ADL MCI - Make a Meal or Snack
	ADL0310A		C106909	ADL03-Highest Level of Food Preparation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.	ADCS-ADL MCI - Description of Highest Level of Food Preparation
	ADL0311		C106910	ADL03-Get Around Outside Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?	ADCS-ADL MCI - Travel Outside Home
	ADL0311A		C106911	ADL03-Get Around Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.	ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
	ADL0312		C106912	ADL03-Talk About Current Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?	ADCS-ADL MCI - Talk About Current Events
	ADL0312A		C106913	ADL03-Regional, National, International	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?	ADCS-ADL MCI - Talk About Regional, National or International Events
	ADL0312B		C106914	ADL03-Talk About Outside Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?	ADCS-ADL MCI - Talk About Outside Home Events
	ADL0312C		C106915	ADL03-Talk About at Home Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?	ADCS-ADL MCI - Talk About at Home Events
	ADL0312D		C106916	ADL03-Talk Without Repeating	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?	ADCS-ADL MCI - Converse Without Repeating
	ADL0313		C106917	ADL03-Read More Than 5 Minutes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?	ADCS-ADL MCI - Read More Than 5 Minutes
	ADL0313A		C106918	ADL03-Select/Ask for Something to Read	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?	ADCS-ADL MCI - Select or Ask for Something to Read
	ADL0313B		C106919	ADL03-Talk Within 1 Hour After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?	ADCS-ADL MCI - Talk Within 1 Hour After Reading
	ADL0313C		C106920	ADL03-Talk Within 1 Day After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?	ADCS-ADL MCI - Talk Within 24 Hours After Reading
	ADL0314		C106921	ADL03-Watch Television	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?	ADCS-ADL MCI - Watch Television
	ADL0314A		C106922	ADL03-Select Television Program	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?	ADCS-ADL MCI - Select or Ask for Programs or Show
	ADL0314B		C106923	ADL03-Talk About TV Content While Watch	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?	ADCS-ADL MCI - Talk About Content of Program While Watching
	ADL0314C		C106924	ADL03-Talk About TV Content Within a Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?	ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
	ADL0315		C106925	ADL03-Go Shopping	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?	ADCS-ADL MCI - Go Shopping At a Store
	ADL0315A		C106926	ADL03-Select items Without Help	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?	ADCS-ADL MCI - Select Correct Items Without Help
	ADL0315B		C106927	ADL03-Pay Items On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?	ADCS-ADL MCI - Pay for Items on His or Her Own
	ADL0316		C106928	ADL03-Left On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?	ADCS-ADL MCI - Left on His or Her Own
	ADL0316A		C106929	ADL03-Left Away From Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?	ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
	ADL0316B		C106930	ADL03-Left at Home for 1 Hour or Longer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?	ADCS-ADL MCI - Left at Home Longer Than an Hour
	ADL0316C		C106931	ADL03-Left at Home for Less Than 1 Hour	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?	ADCS-ADL MCI - Left at Home Less Than an Hour
	ADL0317		C106932	ADL03-Use Household Appliance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?	ADCS-ADL MCI - Use Household Appliance
	ADL0317A		C107089	ADL03-Appliance: Washer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.	ADCS-ADL MCI - Use Household Appliance: Washer
	ADL0317B		C107090	ADL03-Appliance: Dryer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.	ADCS-ADL MCI - Use Household Appliance: Dryer
	ADL0317C		C107091	ADL03-Appliance: Vacuum	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.	ADCS-ADL MCI - Use Household Appliance: Vacuum
	ADL0317D		C106933	ADL03-Appliance: Dishwasher	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.	ADCS-ADL MCI - Use Household Appliance: Dishwasher
	ADL0317E		C106934	ADL03-Appliance: Power Tools	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).	ADCS-ADL MCI - Use Household Appliance: Power Tools
	ADL0317F		C106935	ADL03-Appliance: Toaster Oven	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.	ADCS-ADL MCI - Use Household Appliance: Toaster Oven
	ADL0317G		C106936	ADL03-Appliance: Range	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.	ADCS-ADL MCI - Use Household Appliance: Range
	ADL0317H		C106937	ADL03-Appliance: Microwave	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.	ADCS-ADL MCI - Use Household Appliance: Microwave
	ADL0317I		C106938	ADL03-Appliance: Food Processor	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.	ADCS-ADL MCI - Use Household Appliance: Food Processor
	ADL0317J		C106939	ADL03-Appliance: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.	ADCS-ADL MCI - Use Household Appliance: Other
	ADL0317K		C106940	ADL03-Appliance: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.	ADCS-ADL MCI - Use Household Appliance: Other Specify
	ADL0317L		C106941	ADL03-Use Common Used Appliances (q17a)	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.	ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
	ADL0318		C106942	ADL03-Perform Pastime	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?	ADCS-ADL MCI - Perform Pastime, Hobby or Game
	ADL0318A		C106943	ADL03-Pastime: Card or Board Games	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
	ADL0318B		C106944	ADL03-Pastime: Bingo	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
	ADL0318C		C106945	ADL03-Pastime: Crosswords	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
	ADL0318D		C106946	ADL03-Pastime: Art	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
	ADL0318E		C106947	ADL03-Pastime: Musical Instrument	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
	ADL0318F		C106948	ADL03-Pastime: Knitting	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
	ADL0318G		C106949	ADL03-Pastime: Sewing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
	ADL0318H		C106950	ADL03-Pastime: Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
	ADL0318I		C106951	ADL03-Pastime: Gardening	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
	ADL0318J		C106952	ADL03-Pastime: Golf	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
	ADL0318K		C106953	ADL03-Pastime: Tennis	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
	ADL0318L		C106954	ADL03-Pastime: Workshop	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
	ADL0318M		C106955	ADL03-Pastime: Fishing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
	ADL0318N		C106956	ADL03-Pastime: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
	ADL0318O		C106957	ADL03-Pastime: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
	ADL0318P		C106958	ADL03-Hobbies Needed Help (Q18a)	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?	ADCS-ADL MCI - Require Help to Perform Hobbies
	ADL0318Q		C106959	ADL03-Hobbies Unable to Perform (Q18b)	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.	ADCS-ADL MCI - List Hobbies Lost Ability to Perform
	ADL0319		C106960	ADL03-Drive Car	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?	ADCS-ADL MCI - Drive a Car
	ADL0319A		C106961	ADL03-Drive Car Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.	ADCS-ADL MCI - Description of Optimal Performance of Driving Car
	ADL0320		C106962	ADL03-Take Medications Regularly	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?	ADCS-ADL MCI - Take Medications Regularly
	ADL0320A		C106963	ADL03-Take Medications Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.	ADCS-ADL MCI - Description of Taking Medications Regularly
	ADL0321		C106964	ADL03-Complete Complex Activities	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?	ADCS-ADL MCI - Carry Through Complex Activities to Completion
	ADL0321A		C106965	ADL03-Extent Needed Reminders	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.	ADCS-ADL MCI - Description of Extent Needing Reminder
	ADL0322		C106966	ADL03-Initiate Complex Activities	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?	ADCS-ADL MCI - Initiate Complex Daily Activities
	ADL0323		C106967	ADL03-Time to Complete Complex Tasks	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?	ADCS-ADL MCI - Time Taken to Complete Complex Activities
	ADL0324		C106968	ADL03-Extenuating Circumstances	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?	ADCS-ADL MCI - Extenuating Circumstance
	ADL0324A		C106969	ADL03-Explain Circumstance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.	ADCS-ADL MCI - Explain Extenuating Circumstance
	ADL0325		C107092	ADL03-Total Points for 'Don't Know'	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.	ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
	ADL0326		C106970	ADL03-Subscore for Items 1 to 3	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.	ADCS-ADL MCI - Subscore for Items 1 to 3
	ADL0327		C106971	ADL03-Subscore for Items 4 to 7	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.	ADCS-ADL MCI - Subscore for Items 4 to 7
	ADL0328		C106972	ADL03-Subscore for Items 8 to 10	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.	ADCS-ADL MCI - Subscore for Items 8 to 10
	ADL0329		C106973	ADL03-Subscore for Items 11 to 12d	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.	ADCS-ADL MCI - Subscore for Items 11 to 12
	ADL0330		C106974	ADL03-Subscore for Items 13 to 14c	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.	ADCS-ADL MCI - Subscore for Items 13 to 14
	ADL0331		C106975	ADL03-Subscore for Items 15 to 16c	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.	ADCS-ADL MCI - Subscore for Items 15 to 16
	ADL0332		C106976	ADL03-Subscore for Item 17	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.	ADCS-ADL MCI - Subscore for Item 17
	ADL0333		C106977	ADL03-Subscore for Item 18	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.	ADCS-ADL MCI - Subscore for Item 18
	ADL0334		C106978	ADL03-Total ADCS-ADL Score	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.	ADCS-ADL MCI - ADL Total Score
Back to top
CL.C106650.ADCS-ADL MCI TEST	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name (ADCS-ADL MCI TEST)	text Extensible: No	C106650	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test name.	CDISC Questionnaire ADCS-ADL MCI Test Name Terminology
	ADL03-Appliance: Dishwasher		C106933	ADL03-Appliance: Dishwasher	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.	ADCS-ADL MCI - Use Household Appliance: Dishwasher
	ADL03-Appliance: Dryer		C107090	ADL03-Appliance: Dryer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.	ADCS-ADL MCI - Use Household Appliance: Dryer
	ADL03-Appliance: Food Processor		C106938	ADL03-Appliance: Food Processor	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.	ADCS-ADL MCI - Use Household Appliance: Food Processor
	ADL03-Appliance: Microwave		C106937	ADL03-Appliance: Microwave	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.	ADCS-ADL MCI - Use Household Appliance: Microwave
	ADL03-Appliance: Other		C106939	ADL03-Appliance: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.	ADCS-ADL MCI - Use Household Appliance: Other
	ADL03-Appliance: Other Specify		C106940	ADL03-Appliance: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.	ADCS-ADL MCI - Use Household Appliance: Other Specify
	ADL03-Appliance: Power Tools		C106934	ADL03-Appliance: Power Tools	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).	ADCS-ADL MCI - Use Household Appliance: Power Tools
	ADL03-Appliance: Range		C106936	ADL03-Appliance: Range	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.	ADCS-ADL MCI - Use Household Appliance: Range
	ADL03-Appliance: Toaster Oven		C106935	ADL03-Appliance: Toaster Oven	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.	ADCS-ADL MCI - Use Household Appliance: Toaster Oven
	ADL03-Appliance: Vacuum		C107091	ADL03-Appliance: Vacuum	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.	ADCS-ADL MCI - Use Household Appliance: Vacuum
	ADL03-Appliance: Washer		C107089	ADL03-Appliance: Washer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.	ADCS-ADL MCI - Use Household Appliance: Washer
	ADL03-Aware of Appointment Ahead of Time		C106905	ADL03-Aware of Appointment Ahead of Time	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.	ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
	ADL03-Balance Checkbook		C106898	ADL03-Balance Checkbook	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?	ADCS-ADL MCI - Balance Checkbook
	ADL03-Balance Checkbook Performance		C106899	ADL03-Balance Checkbook Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
	ADL03-Clean Laundry		C106902	ADL03-Clean Laundry	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?	ADCS-ADL MCI - Clean Laundry
	ADL03-Clean Room		C106896	ADL03-Clean Room	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?	ADCS-ADL MCI - Clean Room
	ADL03-Clean Room Performance		C106897	ADL03-Clean Room Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
	ADL03-Complete Complex Activities		C106964	ADL03-Complete Complex Activities	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?	ADCS-ADL MCI - Carry Through Complex Activities to Completion
	ADL03-Drive Car		C106960	ADL03-Drive Car	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?	ADCS-ADL MCI - Drive a Car
	ADL03-Drive Car Optimal Performance		C106961	ADL03-Drive Car Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.	ADCS-ADL MCI - Description of Optimal Performance of Driving Car
	ADL03-Explain Circumstance		C106969	ADL03-Explain Circumstance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.	ADCS-ADL MCI - Explain Extenuating Circumstance
	ADL03-Extent Needed Reminders		C106965	ADL03-Extent Needed Reminders	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.	ADCS-ADL MCI - Description of Extent Needing Reminder
	ADL03-Extenuating Circumstances		C106968	ADL03-Extenuating Circumstances	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?	ADCS-ADL MCI - Extenuating Circumstance
	ADL03-Find Belongings Usual Performance		C106892	ADL03-Find Belongings Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
	ADL03-Find Personal Belongings		C106891	ADL03-Find Personal Belongings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?	ADCS-ADL MCI - Find Personal Belongings
	ADL03-Get Around Optimal Performance		C106911	ADL03-Get Around Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.	ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
	ADL03-Get Around Outside Home		C106910	ADL03-Get Around Outside Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?	ADCS-ADL MCI - Travel Outside Home
	ADL03-Go Shopping		C106925	ADL03-Go Shopping	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?	ADCS-ADL MCI - Go Shopping At a Store
	ADL03-Highest Level of Food Preparation		C106909	ADL03-Highest Level of Food Preparation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.	ADCS-ADL MCI - Description of Highest Level of Food Preparation
	ADL03-Highest Telephone Use Performance		C106907	ADL03-Highest Telephone Use Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.	ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
	ADL03-Hobbies Needed Help (Q18a)		C106958	ADL03-Hobbies Needed Help (Q18a)	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?	ADCS-ADL MCI - Require Help to Perform Hobbies
	ADL03-Hobbies Unable to Perform (Q18b)		C106959	ADL03-Hobbies Unable to Perform (Q18b)	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.	ADCS-ADL MCI - List Hobbies Lost Ability to Perform
	ADL03-Initiate Complex Activities		C106966	ADL03-Initiate Complex Activities	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?	ADCS-ADL MCI - Initiate Complex Daily Activities
	ADL03-Keep Appointments		C106904	ADL03-Keep Appointments	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?	ADCS-ADL MCI - Keep Appointments
	ADL03-Laundry Cleaning Performance		C106903	ADL03-Laundry Cleaning Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.	ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
	ADL03-Left at Home for 1 Hour or Longer		C106930	ADL03-Left at Home for 1 Hour or Longer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?	ADCS-ADL MCI - Left at Home Longer Than an Hour
	ADL03-Left at Home for Less Than 1 Hour		C106931	ADL03-Left at Home for Less Than 1 Hour	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?	ADCS-ADL MCI - Left at Home Less Than an Hour
	ADL03-Left Away From Home		C106929	ADL03-Left Away From Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?	ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
	ADL03-Left On His/Her Own		C106928	ADL03-Left On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?	ADCS-ADL MCI - Left on His or Her Own
	ADL03-Make a Meal		C106908	ADL03-Make a Meal	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?	ADCS-ADL MCI - Make a Meal or Snack
	ADL03-Most Complicated Writings		C106901	ADL03-Most Complicated Writings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.	ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
	ADL03-Pastime: Art		C106946	ADL03-Pastime: Art	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
	ADL03-Pastime: Bingo		C106944	ADL03-Pastime: Bingo	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
	ADL03-Pastime: Card or Board Games		C106943	ADL03-Pastime: Card or Board Games	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
	ADL03-Pastime: Crosswords		C106945	ADL03-Pastime: Crosswords	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
	ADL03-Pastime: Fishing		C106955	ADL03-Pastime: Fishing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
	ADL03-Pastime: Gardening		C106951	ADL03-Pastime: Gardening	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
	ADL03-Pastime: Golf		C106952	ADL03-Pastime: Golf	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
	ADL03-Pastime: Knitting		C106948	ADL03-Pastime: Knitting	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
	ADL03-Pastime: Musical Instrument		C106947	ADL03-Pastime: Musical Instrument	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
	ADL03-Pastime: Other		C106956	ADL03-Pastime: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
	ADL03-Pastime: Other Specify		C106957	ADL03-Pastime: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
	ADL03-Pastime: Reading		C106950	ADL03-Pastime: Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
	ADL03-Pastime: Sewing		C106949	ADL03-Pastime: Sewing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
	ADL03-Pastime: Tennis		C106953	ADL03-Pastime: Tennis	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
	ADL03-Pastime: Workshop		C106954	ADL03-Pastime: Workshop	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.	ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
	ADL03-Pay Items On His/Her Own		C106927	ADL03-Pay Items On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?	ADCS-ADL MCI - Pay for Items on His or Her Own
	ADL03-Perform Pastime		C106942	ADL03-Perform Pastime	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?	ADCS-ADL MCI - Perform Pastime, Hobby or Game
	ADL03-Read More Than 5 Minutes		C106917	ADL03-Read More Than 5 Minutes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?	ADCS-ADL MCI - Read More Than 5 Minutes
	ADL03-Regional, National, International		C106913	ADL03-Regional, National, International	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?	ADCS-ADL MCI - Talk About Regional, National or International Events
	ADL03-Select First Clothes for the Day		C106893	ADL03-Select First Clothes for the Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?	ADCS-ADL MCI - Select First Clothes for the Day
	ADL03-Select items Without Help		C106926	ADL03-Select items Without Help	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?	ADCS-ADL MCI - Select Correct Items Without Help
	ADL03-Select Television Program		C106922	ADL03-Select Television Program	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?	ADCS-ADL MCI - Select or Ask for Programs or Show
	ADL03-Select/Ask for Something to Read		C106918	ADL03-Select/Ask for Something to Read	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?	ADCS-ADL MCI - Select or Ask for Something to Read
	ADL03-Subscore for Item 17		C106976	ADL03-Subscore for Item 17	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.	ADCS-ADL MCI - Subscore for Item 17
	ADL03-Subscore for Item 18		C106977	ADL03-Subscore for Item 18	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.	ADCS-ADL MCI - Subscore for Item 18
	ADL03-Subscore for Items 1 to 3		C106970	ADL03-Subscore for Items 1 to 3	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.	ADCS-ADL MCI - Subscore for Items 1 to 3
	ADL03-Subscore for Items 11 to 12d		C106973	ADL03-Subscore for Items 11 to 12d	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.	ADCS-ADL MCI - Subscore for Items 11 to 12
	ADL03-Subscore for Items 13 to 14c		C106974	ADL03-Subscore for Items 13 to 14c	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.	ADCS-ADL MCI - Subscore for Items 13 to 14
	ADL03-Subscore for Items 15 to 16c		C106975	ADL03-Subscore for Items 15 to 16c	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.	ADCS-ADL MCI - Subscore for Items 15 to 16
	ADL03-Subscore for Items 4 to 7		C106971	ADL03-Subscore for Items 4 to 7	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.	ADCS-ADL MCI - Subscore for Items 4 to 7
	ADL03-Subscore for Items 8 to 10		C106972	ADL03-Subscore for Items 8 to 10	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.	ADCS-ADL MCI - Subscore for Items 8 to 10
	ADL03-Take Medications Performance		C106963	ADL03-Take Medications Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.	ADCS-ADL MCI - Description of Taking Medications Regularly
	ADL03-Take Medications Regularly		C106962	ADL03-Take Medications Regularly	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?	ADCS-ADL MCI - Take Medications Regularly
	ADL03-Talk About at Home Events		C106915	ADL03-Talk About at Home Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?	ADCS-ADL MCI - Talk About at Home Events
	ADL03-Talk About Current Events		C106912	ADL03-Talk About Current Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?	ADCS-ADL MCI - Talk About Current Events
	ADL03-Talk About Outside Events		C106914	ADL03-Talk About Outside Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?	ADCS-ADL MCI - Talk About Outside Home Events
	ADL03-Talk About TV Content While Watch		C106923	ADL03-Talk About TV Content While Watch	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?	ADCS-ADL MCI - Talk About Content of Program While Watching
	ADL03-Talk About TV Content Within a Day		C106924	ADL03-Talk About TV Content Within a Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?	ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
	ADL03-Talk Within 1 Day After Reading		C106920	ADL03-Talk Within 1 Day After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?	ADCS-ADL MCI - Talk Within 24 Hours After Reading
	ADL03-Talk Within 1 Hour After Reading		C106919	ADL03-Talk Within 1 Hour After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?	ADCS-ADL MCI - Talk Within 1 Hour After Reading
	ADL03-Talk Without Repeating		C106916	ADL03-Talk Without Repeating	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?	ADCS-ADL MCI - Converse Without Repeating
	ADL03-Time to Complete Complex Tasks		C106967	ADL03-Time to Complete Complex Tasks	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?	ADCS-ADL MCI - Time Taken to Complete Complex Activities
	ADL03-Total ADCS-ADL Score		C106978	ADL03-Total ADCS-ADL Score	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.	ADCS-ADL MCI - ADL Total Score
	ADL03-Total Points for 'Don't Know'		C107092	ADL03-Total Points for 'Don't Know'	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.	ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
	ADL03-Use a Telephone		C106906	ADL03-Use a Telephone	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?	ADCS-ADL MCI - Use a Telephone
	ADL03-Use Common Used Appliances (q17a)		C106941	ADL03-Use Common Used Appliances (q17a)	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.	ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
	ADL03-Use Household Appliance		C106932	ADL03-Use Household Appliance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?	ADCS-ADL MCI - Use Household Appliance
	ADL03-Usual Dressing Performance		C106894	ADL03-Usual Dressing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.	ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
	ADL03-Usual Physically Dressing Perform		C106895	ADL03-Usual Physically Dressing Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.	ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
	ADL03-Watch Television		C106921	ADL03-Watch Television	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?	ADCS-ADL MCI - Watch Television
	ADL03-Write Things Down		C106900	ADL03-Write Things Down	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?	ADCS-ADL MCI - Write Things Down
Back to top
CL.C105140.ADCS-ADL TESTCD	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code (ADCS-ADL TESTCD)	text Extensible: No	C105140	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test code.	CDISC Questionnaire ADCS-ADL Test Code Terminology
	ADL0101		C105283	ADL01-Usual Eating Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?	ADCS-ADL - Description of Usual Performance of Eating
	ADL0102		C105284	ADL01-Optimal Walking Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.	ADCS-ADL - Description of Optimal Performance of Walking
	ADL0103		C105285	ADL01-Usual Bowel/Bladder Function	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.	ADCS-ADL - Usual Bowel and Bladder Function at Toilet
	ADL0104		C105286	ADL01-Usual Bathing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.	ADCS-ADL - Description of Usual Performance of Bathing
	ADL0105		C105287	ADL01-Optimal Grooming Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.	ADCS-ADL - Description of Optimal Performance of Grooming
	ADL0106		C105288	ADL01-Select First Clothes for the Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?	ADCS-ADL - Select First Clothes for the Day
	ADL0106A		C105289	ADL01-Usual Dressing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.	ADCS-ADL - Description of Usual Performance of Dressing
	ADL0106B		C105290	ADL01-Usual Physically Dressing Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.	ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
	ADL0107		C105291	ADL01-Use a Telephone	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?	ADCS-ADL - Use a Telephone
	ADL0107A		C105292	ADL01-Highest Telephone Use Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.	ADCS-ADL - Description of Highest Performance of Telephone Use
	ADL0108		C105293	ADL01-Watch Television	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?	ADCS-ADL - Watch Television
	ADL0108A		C105294	ADL01-Select Television Program	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?	ADCS-ADL - Select or Ask for Television Program
	ADL0108B		C105295	ADL01-Talk About TV Content While Watch	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?	ADCS-ADL - Talk About TV Content While Watching
	ADL0108C		C105296	ADL01-Talk About TV Content Within a Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?	ADCS-ADL - Talk About TV Content Within a Day After Watching
	ADL0109		C105297	ADL01-Pay Attention to Conversation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?	ADCS-ADL - Pay Attention to Conversation
	ADL0109A		C105298	ADL01-Usual Conversation Participation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.	ADCS-ADL - Usual Conversation Participation
	ADL0110		C105299	ADL01-Clear Dishes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?	ADCS-ADL - Clear Dishes After Meal or Snack
	ADL0110A		C105300	ADL01-Clear Dishes Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.	ADCS-ADL - Description of Usual Performance of Clearing Dishes
	ADL0111		C105301	ADL01-Find Belongings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?	ADCS-ADL - Find Personal Belongings at Home
	ADL0111A		C105302	ADL01-Find Belongings Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.	ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
	ADL0112		C105303	ADL01-Obtain Beverage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?	ADCS-ADL - Obtain Beverage for Self
	ADL0112A		C105304	ADL01-Obtain Beverage Highest Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.	ADCS-ADL - Description of Highest Performance of Obtaining Beverage
	ADL0113		C105305	ADL01-Make a Meal	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?	ADCS-ADL - Make a Meal or Snack at Home
	ADL0113A		C105306	ADL01-Highest Level of Food Preparation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.	ADCS-ADL - Highest Level of Food Preparation
	ADL0114		C105307	ADL01-Dispose of Garbage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?	ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
	ADL0114A		C105308	ADL01-Dispose Garbage Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.	ADCS-ADL - Description of Usual Performance of Garbage Disposal
	ADL0115		C105309	ADL01-Get Around Outside Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?	ADCS-ADL - Get Around Outside Home
	ADL0115A		C105310	ADL01-Get Around Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.	ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
	ADL0116		C105311	ADL01-Go Shopping	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?	ADCS-ADL - Go Shopping
	ADL0116A		C105312	ADL01-How Usually Selects Items	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.	ADCS-ADL - How Subject Usually Selects Items
	ADL0116B		C105313	ADL01-Pay Without Supervision	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?	ADCS-ADL - Pay for Items Without Supervision or Physical Help
	ADL0117		C105314	ADL01-Keep Appointments	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?	ADCS-ADL - Keep Appointments or Meetings with Others
	ADL0117A		C105315	ADL01-Aware of Appointment Ahead of Time	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.	ADCS-ADL - Description of Awareness of Appointment Ahead of Time
	ADL0118		C105316	ADL01-Left On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?	ADCS-ADL - Subject Left on Their Own
	ADL0118A		C105317	ADL01-Left Away From Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?	ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
	ADL0118B		C105318	ADL01-Left at Home for 1 Hour or Longer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?	ADCS-ADL - Left at Home for One Hour or Longer
	ADL0118C		C105319	ADL01-Left at Home for Less Than 1 Hour	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?	ADCS-ADL - Left at Home for Less Than One Hour
	ADL0119		C105320	ADL01-Talk About Current Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?	ADCS-ADL - Talk About Current Events
	ADL0119A		C105321	ADL01-Talk About Events Heard/Read About	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?	ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
	ADL0119B		C105322	ADL01-Talk About Outside Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?	ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
	ADL0119C		C105323	ADL01-Talk About at Home Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?	ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
	ADL0120		C105324	ADL01-Read More Than 5 Minutes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?	ADCS-ADL - Read for More Than Five Minutes
	ADL0120A		C105325	ADL01-Talk Within 1 Hour After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?	ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
	ADL0120B		C105326	ADL01-Talk 1 Hour or More After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?	ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
	ADL0121		C105327	ADL01-Write Things Down	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?	ADCS-ADL - Write Things Down
	ADL0121A		C105328	ADL01-Most Complicated Writings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.	ADCS-ADL - Description of Most Complicated Writings
	ADL0122		C105329	ADL01-Perform Pastime	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?	ADCS-ADL - Perform Pastime, Hobby or Game
	ADL0122A		C105330	ADL01-Pastime: Card or Board Games	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.	ADCS-ADL - Pastime: Card or Board Games
	ADL0122B		C105331	ADL01-Pastime: Bingo	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.	ADCS-ADL - Pastime: Bingo
	ADL0122C		C105332	ADL01-Pastime: Crosswords	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.	ADCS-ADL - Pastime: Crosswords
	ADL0122D		C105333	ADL01-Pastime: Art	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.	ADCS-ADL - Pastime: Art
	ADL0122E		C105334	ADL01-Pastime: Musical Instrument	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.	ADCS-ADL - Pastime: Musical Instrument
	ADL0122F		C105335	ADL01-Pastime: Knitting	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.	ADCS-ADL - Pastime: Knitting
	ADL0122G		C105336	ADL01-Pastime: Sewing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.	ADCS-ADL - Pastime: Sewing
	ADL0122H		C105337	ADL01-Pastime: Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.	ADCS-ADL - Pastime: Reading
	ADL0122I		C105338	ADL01-Pastime: Gardening	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.	ADCS-ADL - Pastime: Gardening
	ADL0122J		C105339	ADL01-Pastime: Golf	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.	ADCS-ADL - Pastime: Golf
	ADL0122K		C105340	ADL01-Pastime: Tennis	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.	ADCS-ADL - Pastime: Tennis
	ADL0122L		C105341	ADL01-Pastime: Workshop	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.	ADCS-ADL - Pastime: Workshop
	ADL0122M		C105342	ADL01-Pastime: Fishing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.	ADCS-ADL - Pastime: Fishing
	ADL0122N		C105343	ADL01-Pastime: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.	ADCS-ADL - Pastime: Other
	ADL0122O		C105344	ADL01-Pastime: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.	ADCS-ADL - Pastime: Other Specify
	ADL0122P		C105345	ADL01-Hobbies Only at Day Care	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.	ADCS-ADL - Performed Hobbies Only at Day Care
	ADL0122Q		C105346	ADL01-Usual Common Pastimes Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.	ADCS-ADL - Description of Usual Performance of Common Pastimes
	ADL0123		C105347	ADL01-Use Household Appliance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?	ADCS-ADL - Use Household Appliance to do Chores
	ADL0123A		C105348	ADL01-Appliance: Washer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.	ADCS-ADL - Appliance: Washer
	ADL0123B		C105349	ADL01-Appliance: Dryer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.	ADCS-ADL - Appliance: Dryer
	ADL0123C		C105350	ADL01-Appliance: Vacuum	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.	ADCS-ADL - Appliance: Vacuum
	ADL0123D		C105351	ADL01-Appliance: Dishwasher	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.	ADCS-ADL - Appliance: Dishwasher
	ADL0123E		C105352	ADL01-Appliance: Toaster	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.	ADCS-ADL - Appliance: Toaster
	ADL0123F		C105353	ADL01-Appliance: Toaster Oven	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.	ADCS-ADL - Appliance: Toaster Oven
	ADL0123G		C105354	ADL01-Appliance: Range	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.	ADCS-ADL - Appliance: Range
	ADL0123H		C105355	ADL01-Appliance: Microwave	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.	ADCS-ADL - Appliance: Microwave
	ADL0123I		C105356	ADL01-Appliance: Food Processor	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.	ADCS-ADL - Appliance: Food Processor
	ADL0123J		C105357	ADL01-Appliance: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.	ADCS-ADL - Appliance: Other
	ADL0123K		C105358	ADL01-Appliance: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.	ADCS-ADL - Appliance: Other Specify
	ADL0123L		C105359	ADL01-Use Common Used Appliances	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.	ADCS-ADL - Description of Usual Use of Commonly Used Appliances
	ADL0124		C105360	ADL01-Total ADCS-ADL Score	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.	ADCS-ADL - Total Score
	ADL0125		C105361	ADL01-Number Don't Know Responses	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.	ADCS-ADL - Number of 'Don't Know' Responses
Back to top
CL.C105139.ADCS-ADL TEST	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name (ADCS-ADL TEST)	text Extensible: No	C105139	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test name.	CDISC Questionnaire ADCS-ADL Test Name Terminology
	ADL01-Appliance: Dishwasher		C105351	ADL01-Appliance: Dishwasher	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.	ADCS-ADL - Appliance: Dishwasher
	ADL01-Appliance: Dryer		C105349	ADL01-Appliance: Dryer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.	ADCS-ADL - Appliance: Dryer
	ADL01-Appliance: Food Processor		C105356	ADL01-Appliance: Food Processor	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.	ADCS-ADL - Appliance: Food Processor
	ADL01-Appliance: Microwave		C105355	ADL01-Appliance: Microwave	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.	ADCS-ADL - Appliance: Microwave
	ADL01-Appliance: Other		C105357	ADL01-Appliance: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.	ADCS-ADL - Appliance: Other
	ADL01-Appliance: Other Specify		C105358	ADL01-Appliance: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.	ADCS-ADL - Appliance: Other Specify
	ADL01-Appliance: Range		C105354	ADL01-Appliance: Range	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.	ADCS-ADL - Appliance: Range
	ADL01-Appliance: Toaster		C105352	ADL01-Appliance: Toaster	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.	ADCS-ADL - Appliance: Toaster
	ADL01-Appliance: Toaster Oven		C105353	ADL01-Appliance: Toaster Oven	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.	ADCS-ADL - Appliance: Toaster Oven
	ADL01-Appliance: Vacuum		C105350	ADL01-Appliance: Vacuum	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.	ADCS-ADL - Appliance: Vacuum
	ADL01-Appliance: Washer		C105348	ADL01-Appliance: Washer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.	ADCS-ADL - Appliance: Washer
	ADL01-Aware of Appointment Ahead of Time		C105315	ADL01-Aware of Appointment Ahead of Time	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.	ADCS-ADL - Description of Awareness of Appointment Ahead of Time
	ADL01-Clear Dishes		C105299	ADL01-Clear Dishes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?	ADCS-ADL - Clear Dishes After Meal or Snack
	ADL01-Clear Dishes Usual Performance		C105300	ADL01-Clear Dishes Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.	ADCS-ADL - Description of Usual Performance of Clearing Dishes
	ADL01-Dispose Garbage Usual Performance		C105308	ADL01-Dispose Garbage Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.	ADCS-ADL - Description of Usual Performance of Garbage Disposal
	ADL01-Dispose of Garbage		C105307	ADL01-Dispose of Garbage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?	ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
	ADL01-Find Belongings		C105301	ADL01-Find Belongings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?	ADCS-ADL - Find Personal Belongings at Home
	ADL01-Find Belongings Usual Performance		C105302	ADL01-Find Belongings Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.	ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
	ADL01-Get Around Optimal Performance		C105310	ADL01-Get Around Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.	ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
	ADL01-Get Around Outside Home		C105309	ADL01-Get Around Outside Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?	ADCS-ADL - Get Around Outside Home
	ADL01-Go Shopping		C105311	ADL01-Go Shopping	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?	ADCS-ADL - Go Shopping
	ADL01-Highest Level of Food Preparation		C105306	ADL01-Highest Level of Food Preparation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.	ADCS-ADL - Highest Level of Food Preparation
	ADL01-Highest Telephone Use Performance		C105292	ADL01-Highest Telephone Use Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.	ADCS-ADL - Description of Highest Performance of Telephone Use
	ADL01-Hobbies Only at Day Care		C105345	ADL01-Hobbies Only at Day Care	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.	ADCS-ADL - Performed Hobbies Only at Day Care
	ADL01-How Usually Selects Items		C105312	ADL01-How Usually Selects Items	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.	ADCS-ADL - How Subject Usually Selects Items
	ADL01-Keep Appointments		C105314	ADL01-Keep Appointments	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?	ADCS-ADL - Keep Appointments or Meetings with Others
	ADL01-Left at Home for 1 Hour or Longer		C105318	ADL01-Left at Home for 1 Hour or Longer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?	ADCS-ADL - Left at Home for One Hour or Longer
	ADL01-Left at Home for Less Than 1 Hour		C105319	ADL01-Left at Home for Less Than 1 Hour	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?	ADCS-ADL - Left at Home for Less Than One Hour
	ADL01-Left Away From Home		C105317	ADL01-Left Away From Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?	ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
	ADL01-Left On His/Her Own		C105316	ADL01-Left On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?	ADCS-ADL - Subject Left on Their Own
	ADL01-Make a Meal		C105305	ADL01-Make a Meal	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?	ADCS-ADL - Make a Meal or Snack at Home
	ADL01-Most Complicated Writings		C105328	ADL01-Most Complicated Writings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.	ADCS-ADL - Description of Most Complicated Writings
	ADL01-Number Don't Know Responses		C105361	ADL01-Number Don't Know Responses	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.	ADCS-ADL - Number of 'Don't Know' Responses
	ADL01-Obtain Beverage		C105303	ADL01-Obtain Beverage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?	ADCS-ADL - Obtain Beverage for Self
	ADL01-Obtain Beverage Highest Perform		C105304	ADL01-Obtain Beverage Highest Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.	ADCS-ADL - Description of Highest Performance of Obtaining Beverage
	ADL01-Optimal Grooming Performance		C105287	ADL01-Optimal Grooming Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.	ADCS-ADL - Description of Optimal Performance of Grooming
	ADL01-Optimal Walking Performance		C105284	ADL01-Optimal Walking Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.	ADCS-ADL - Description of Optimal Performance of Walking
	ADL01-Pastime: Art		C105333	ADL01-Pastime: Art	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.	ADCS-ADL - Pastime: Art
	ADL01-Pastime: Bingo		C105331	ADL01-Pastime: Bingo	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.	ADCS-ADL - Pastime: Bingo
	ADL01-Pastime: Card or Board Games		C105330	ADL01-Pastime: Card or Board Games	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.	ADCS-ADL - Pastime: Card or Board Games
	ADL01-Pastime: Crosswords		C105332	ADL01-Pastime: Crosswords	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.	ADCS-ADL - Pastime: Crosswords
	ADL01-Pastime: Fishing		C105342	ADL01-Pastime: Fishing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.	ADCS-ADL - Pastime: Fishing
	ADL01-Pastime: Gardening		C105338	ADL01-Pastime: Gardening	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.	ADCS-ADL - Pastime: Gardening
	ADL01-Pastime: Golf		C105339	ADL01-Pastime: Golf	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.	ADCS-ADL - Pastime: Golf
	ADL01-Pastime: Knitting		C105335	ADL01-Pastime: Knitting	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.	ADCS-ADL - Pastime: Knitting
	ADL01-Pastime: Musical Instrument		C105334	ADL01-Pastime: Musical Instrument	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.	ADCS-ADL - Pastime: Musical Instrument
	ADL01-Pastime: Other		C105343	ADL01-Pastime: Other	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.	ADCS-ADL - Pastime: Other
	ADL01-Pastime: Other Specify		C105344	ADL01-Pastime: Other Specify	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.	ADCS-ADL - Pastime: Other Specify
	ADL01-Pastime: Reading		C105337	ADL01-Pastime: Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.	ADCS-ADL - Pastime: Reading
	ADL01-Pastime: Sewing		C105336	ADL01-Pastime: Sewing	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.	ADCS-ADL - Pastime: Sewing
	ADL01-Pastime: Tennis		C105340	ADL01-Pastime: Tennis	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.	ADCS-ADL - Pastime: Tennis
	ADL01-Pastime: Workshop		C105341	ADL01-Pastime: Workshop	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.	ADCS-ADL - Pastime: Workshop
	ADL01-Pay Attention to Conversation		C105297	ADL01-Pay Attention to Conversation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?	ADCS-ADL - Pay Attention to Conversation
	ADL01-Pay Without Supervision		C105313	ADL01-Pay Without Supervision	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?	ADCS-ADL - Pay for Items Without Supervision or Physical Help
	ADL01-Perform Pastime		C105329	ADL01-Perform Pastime	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?	ADCS-ADL - Perform Pastime, Hobby or Game
	ADL01-Read More Than 5 Minutes		C105324	ADL01-Read More Than 5 Minutes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?	ADCS-ADL - Read for More Than Five Minutes
	ADL01-Select First Clothes for the Day		C105288	ADL01-Select First Clothes for the Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?	ADCS-ADL - Select First Clothes for the Day
	ADL01-Select Television Program		C105294	ADL01-Select Television Program	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?	ADCS-ADL - Select or Ask for Television Program
	ADL01-Talk 1 Hour or More After Reading		C105326	ADL01-Talk 1 Hour or More After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?	ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
	ADL01-Talk About at Home Events		C105323	ADL01-Talk About at Home Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?	ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
	ADL01-Talk About Current Events		C105320	ADL01-Talk About Current Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?	ADCS-ADL - Talk About Current Events
	ADL01-Talk About Events Heard/Read About		C105321	ADL01-Talk About Events Heard/Read About	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?	ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
	ADL01-Talk About Outside Events		C105322	ADL01-Talk About Outside Events	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?	ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
	ADL01-Talk About TV Content While Watch		C105295	ADL01-Talk About TV Content While Watch	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?	ADCS-ADL - Talk About TV Content While Watching
	ADL01-Talk About TV Content Within a Day		C105296	ADL01-Talk About TV Content Within a Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?	ADCS-ADL - Talk About TV Content Within a Day After Watching
	ADL01-Talk Within 1 Hour After Reading		C105325	ADL01-Talk Within 1 Hour After Reading	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?	ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
	ADL01-Total ADCS-ADL Score		C105360	ADL01-Total ADCS-ADL Score	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.	ADCS-ADL - Total Score
	ADL01-Use a Telephone		C105291	ADL01-Use a Telephone	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?	ADCS-ADL - Use a Telephone
	ADL01-Use Common Used Appliances		C105359	ADL01-Use Common Used Appliances	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.	ADCS-ADL - Description of Usual Use of Commonly Used Appliances
	ADL01-Use Household Appliance		C105347	ADL01-Use Household Appliance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?	ADCS-ADL - Use Household Appliance to do Chores
	ADL01-Usual Bathing Performance		C105286	ADL01-Usual Bathing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.	ADCS-ADL - Description of Usual Performance of Bathing
	ADL01-Usual Bowel/Bladder Function		C105285	ADL01-Usual Bowel/Bladder Function	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.	ADCS-ADL - Usual Bowel and Bladder Function at Toilet
	ADL01-Usual Common Pastimes Performance		C105346	ADL01-Usual Common Pastimes Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.	ADCS-ADL - Description of Usual Performance of Common Pastimes
	ADL01-Usual Conversation Participation		C105298	ADL01-Usual Conversation Participation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.	ADCS-ADL - Usual Conversation Participation
	ADL01-Usual Dressing Performance		C105289	ADL01-Usual Dressing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.	ADCS-ADL - Description of Usual Performance of Dressing
	ADL01-Usual Eating Performance		C105283	ADL01-Usual Eating Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?	ADCS-ADL - Description of Usual Performance of Eating
	ADL01-Usual Physically Dressing Perform		C105290	ADL01-Usual Physically Dressing Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.	ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
	ADL01-Watch Television		C105293	ADL01-Watch Television	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?	ADCS-ADL - Watch Television
	ADL01-Write Things Down		C105327	ADL01-Write Things Down	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?	ADCS-ADL - Write Things Down
Back to top
CL.C106653.ADCS-ADL Severe Dementia TESTCD	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code (ADCS-ADL Severe Dementia TESTCD)	text Extensible: No	C106653	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test code.	CDISC Questionnaire ADCS-ADL Severe Dementia Test Code Terminology
	ADL0201		C106979	ADL02-Usual Eating Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?	ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
	ADL0202		C106980	ADL02-Optimal Walking Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?	ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
	ADL0203		C106981	ADL02-Usual Bowel/Bladder Function	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?	ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
	ADL0204		C106982	ADL02-Usual Bathing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?	ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
	ADL0205		C106983	ADL02-Optimal Grooming Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?	ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
	ADL0206		C106984	ADL02-Usual Physically Dressing Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?	ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
	ADL0207		C106985	ADL02-Use a Telephone	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?	ADCS-ADL Severe Dementia - Use a Telephone
	ADL0207A		C106986	ADL02-Highest Telephone Use Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.	ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
	ADL0208		C106987	ADL02-Watch Television	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?	ADCS-ADL Severe Dementia - Watch Television
	ADL0208A		C106988	ADL02-Select Television Program	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?	ADCS-ADL Severe Dementia - Select or Ask for Television Program
	ADL0208B		C106989	ADL02-Talk About TV Content While Watch	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?	ADCS-ADL Severe Dementia - Talk About TV Content While Watching
	ADL0208C		C106990	ADL02-Talk About TV Content Within a Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?	ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
	ADL0209		C106991	ADL02-Pay Attention to Conversation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?	ADCS-ADL Severe Dementia - Pay Attention to Conversation
	ADL0209A		C106992	ADL02-Usual Conversation Participation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.	ADCS-ADL Severe Dementia - Usual Conversation Participation
	ADL0210		C106993	ADL02-Clear Dishes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?	ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
	ADL0210A		C106994	ADL02-Clear Dishes Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.	ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
	ADL0211		C106995	ADL02-Find Belongings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?	ADCS-ADL Severe Dementia - Find Personal Belongings at Home
	ADL0211A		C106996	ADL02-Find Belongings Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.	ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
	ADL0212		C106997	ADL02-Obtain Beverage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?	ADCS-ADL Severe Dementia - Obtain Beverage for Self
	ADL0212A		C106998	ADL02-Obtain Beverage Highest Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.	ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
	ADL0213		C106999	ADL02-Dispose of Garbage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?	ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
	ADL0213A		C107000	ADL02-Dispose Garbage Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.	ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
	ADL0214		C107001	ADL02-Get Around Outside Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?	ADCS-ADL Severe Dementia - Get Around Outside Home
	ADL0214A		C107002	ADL02-Get Around Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.	ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
	ADL0215		C107003	ADL02-Left On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?	ADCS-ADL Severe Dementia - Subject Left on Their Own
	ADL0215A		C107004	ADL02-Left Away From Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?	ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
	ADL0215B		C107005	ADL02-Left at Home for 1 Hour or Longer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?	ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
	ADL0215C		C107006	ADL02-Left at Home for Less Than 1 Hour	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?	ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
	ADL0216		C107007	ADL02-Run Water Faucet to Wash	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?	ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
	ADL0217		C107008	ADL02-Turn Off Faucet	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?	ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
	ADL0218		C107009	ADL02-Turn On Light	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?	ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
	ADL0219		C107010	ADL02-Turn Off Light	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?	ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
	ADL0220		C107011	ADL02-Sum 1 to 5	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.	ADCS-ADL Severe Dementia - Sum of Items 1-5
	ADL0221		C107012	ADL02-Sum 6 to 8	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.	ADCS-ADL Severe Dementia - Sum of Items 6-8
	ADL0222		C107013	ADL02-Sum 9 to 12	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.	ADCS-ADL Severe Dementia - Sum of Items 9-12
	ADL0223		C107014	ADL02-Sum 13 to 15	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.	ADCS-ADL Severe Dementia - Sum of Items 13-15
	ADL0224		C107015	ADL02-Sum 16 to 19	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.	ADCS-ADL Severe Dementia - Sum of Items 16-19
	ADL0225		C107016	ADL02-Total ADCS-ADL Score	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.	ADCS-ADL Severe Dementia - Total Score
Back to top
CL.C106652.ADCS-ADL Severe Dementia TEST	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name (ADCS-ADL Severe Dementia TEST)	text Extensible: No	C106652	QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test name.	CDISC Questionnaire ADCS-ADL Severe Dementia Test Name Terminology
	ADL02-Clear Dishes		C106993	ADL02-Clear Dishes	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?	ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
	ADL02-Clear Dishes Usual Performance		C106994	ADL02-Clear Dishes Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.	ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
	ADL02-Dispose Garbage Usual Performance		C107000	ADL02-Dispose Garbage Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.	ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
	ADL02-Dispose of Garbage		C106999	ADL02-Dispose of Garbage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?	ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
	ADL02-Find Belongings		C106995	ADL02-Find Belongings	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?	ADCS-ADL Severe Dementia - Find Personal Belongings at Home
	ADL02-Find Belongings Usual Performance		C106996	ADL02-Find Belongings Usual Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.	ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
	ADL02-Get Around Optimal Performance		C107002	ADL02-Get Around Optimal Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.	ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
	ADL02-Get Around Outside Home		C107001	ADL02-Get Around Outside Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?	ADCS-ADL Severe Dementia - Get Around Outside Home
	ADL02-Highest Telephone Use Performance		C106986	ADL02-Highest Telephone Use Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.	ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
	ADL02-Left at Home for 1 Hour or Longer		C107005	ADL02-Left at Home for 1 Hour or Longer	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?	ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
	ADL02-Left at Home for Less Than 1 Hour		C107006	ADL02-Left at Home for Less Than 1 Hour	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?	ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
	ADL02-Left Away From Home		C107004	ADL02-Left Away From Home	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?	ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
	ADL02-Left On His/Her Own		C107003	ADL02-Left On His/Her Own	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?	ADCS-ADL Severe Dementia - Subject Left on Their Own
	ADL02-Obtain Beverage		C106997	ADL02-Obtain Beverage	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?	ADCS-ADL Severe Dementia - Obtain Beverage for Self
	ADL02-Obtain Beverage Highest Perform		C106998	ADL02-Obtain Beverage Highest Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.	ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
	ADL02-Optimal Grooming Performance		C106983	ADL02-Optimal Grooming Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?	ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
	ADL02-Optimal Walking Performance		C106980	ADL02-Optimal Walking Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?	ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
	ADL02-Pay Attention to Conversation		C106991	ADL02-Pay Attention to Conversation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?	ADCS-ADL Severe Dementia - Pay Attention to Conversation
	ADL02-Run Water Faucet to Wash		C107007	ADL02-Run Water Faucet to Wash	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?	ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
	ADL02-Select Television Program		C106988	ADL02-Select Television Program	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?	ADCS-ADL Severe Dementia - Select or Ask for Television Program
	ADL02-Sum 1 to 5		C107011	ADL02-Sum 1 to 5	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.	ADCS-ADL Severe Dementia - Sum of Items 1-5
	ADL02-Sum 13 to 15		C107014	ADL02-Sum 13 to 15	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.	ADCS-ADL Severe Dementia - Sum of Items 13-15
	ADL02-Sum 16 to 19		C107015	ADL02-Sum 16 to 19	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.	ADCS-ADL Severe Dementia - Sum of Items 16-19
	ADL02-Sum 6 to 8		C107012	ADL02-Sum 6 to 8	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.	ADCS-ADL Severe Dementia - Sum of Items 6-8
	ADL02-Sum 9 to 12		C107013	ADL02-Sum 9 to 12	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.	ADCS-ADL Severe Dementia - Sum of Items 9-12
	ADL02-Talk About TV Content While Watch		C106989	ADL02-Talk About TV Content While Watch	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?	ADCS-ADL Severe Dementia - Talk About TV Content While Watching
	ADL02-Talk About TV Content Within a Day		C106990	ADL02-Talk About TV Content Within a Day	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?	ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
	ADL02-Total ADCS-ADL Score		C107016	ADL02-Total ADCS-ADL Score	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.	ADCS-ADL Severe Dementia - Total Score
	ADL02-Turn Off Faucet		C107008	ADL02-Turn Off Faucet	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?	ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
	ADL02-Turn Off Light		C107010	ADL02-Turn Off Light	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?	ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
	ADL02-Turn On Light		C107009	ADL02-Turn On Light	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?	ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
	ADL02-Use a Telephone		C106985	ADL02-Use a Telephone	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?	ADCS-ADL Severe Dementia - Use a Telephone
	ADL02-Usual Bathing Performance		C106982	ADL02-Usual Bathing Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?	ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
	ADL02-Usual Bowel/Bladder Function		C106981	ADL02-Usual Bowel/Bladder Function	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?	ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
	ADL02-Usual Conversation Participation		C106992	ADL02-Usual Conversation Participation	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.	ADCS-ADL Severe Dementia - Usual Conversation Participation
	ADL02-Usual Eating Performance		C106979	ADL02-Usual Eating Performance	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?	ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
	ADL02-Usual Physically Dressing Perform		C106984	ADL02-Usual Physically Dressing Perform	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?	ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
	ADL02-Watch Television		C106987	ADL02-Watch Television	Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?	ADCS-ADL Severe Dementia - Watch Television
Back to top
CL.C103459.ADCS-CGIC TESTCD	QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code (ADCS-CGIC TESTCD)	text Extensible: No	C103459	QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code	Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change test code.	CDISC Questionnaire ADCS-CGIC Test Code Terminology
	ACGC0101		C103531	ACGC01-Clinical Impression of Change	Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.	ADCS-CGIC - Clinical Impression of Change from Baseline
Back to top
CL.C103458.ADCS-CGIC TEST	QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name (ADCS-CGIC TEST)	text Extensible: No	C103458	QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name	Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change test name.	CDISC Questionnaire ADCS-CGIC Test Name Terminology
	ACGC01-Clinical Impression of Change		C103531	ACGC01-Clinical Impression of Change	Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.	ADCS-CGIC - Clinical Impression of Change from Baseline
Back to top
CL.C101809.BARS TESTCD	QS-Barnes Akathisia Rating Scale Test Code (BARS TESTCD)	text Extensible: No	C101809	QS-Barnes Akathisia Rating Scale Test Code	Barnes Akathisia Rating Scale test code.	CDISC Questionnaire BARS Test Code Terminology
	BARS0101		C102046	BARS01-Objective	Barnes Akathisia Rating Scale - Objective.	BARS - Objective
	BARS0102		C102047	BARS01-Subjective, Awareness	Barnes Akathisia Rating Scale - Subjective, awareness of restlessness.	BARS - Subjective, Awareness
	BARS0103		C102048	BARS01-Subjective, Distress	Barnes Akathisia Rating Scale - Subjective, distress related to restlessness.	BARS - Subjective, Distress
	BARS0104		C102049	BARS01-Global Clinical Assessment	Barnes Akathisia Rating Scale - Global clinical assessment of akathisia.	BARS - Global Clinical Assessment
Back to top
CL.C101810.BARS TEST	QS-Barnes Akathisia Rating Scale Test Name (BARS TEST)	text Extensible: No	C101810	QS-Barnes Akathisia Rating Scale Test Name	Barnes Akathisia Rating Scale test name.	CDISC Questionnaire BARS Test Name Terminology
	BARS01-Global Clinical Assessment		C102049	BARS01-Global Clinical Assessment	Barnes Akathisia Rating Scale - Global clinical assessment of akathisia.	BARS - Global Clinical Assessment
	BARS01-Objective		C102046	BARS01-Objective	Barnes Akathisia Rating Scale - Objective.	BARS - Objective
	BARS01-Subjective, Awareness		C102047	BARS01-Subjective, Awareness	Barnes Akathisia Rating Scale - Subjective, awareness of restlessness.	BARS - Subjective, Awareness
	BARS01-Subjective, Distress		C102048	BARS01-Subjective, Distress	Barnes Akathisia Rating Scale - Subjective, distress related to restlessness.	BARS - Subjective, Distress
Back to top
CL.C106655.BDI TESTCD	QS-Baseline Dyspnea Index Questionnaire Test Code (BDI TESTCD)	text Extensible: No	C106655	QS-Baseline Dyspnea Index Questionnaire Test Code	Baseline Dyspnea Index test code.	CDISC Questionnaire BDI Test Code Terminology
	BDI0101		C106701	BDI01-Functional Impairment	Baseline Dyspnea Index - Functional impairment.	BDI - Functional Impairment
	BDI0102		C106702	BDI01-Magnitude of Task	Baseline Dyspnea Index - Magnitude of task.	BDI - Magnitude of Task
	BDI0103		C106703	BDI01-Magnitude of Effort	Baseline Dyspnea Index - Magnitude of effort.	BDI - Magnitude of Effort
Back to top
CL.C106654.BDI TEST	QS-Baseline Dyspnea Index Questionnaire Test Name (BDI TEST)	text Extensible: No	C106654	QS-Baseline Dyspnea Index Questionnaire Test Name	Baseline Dyspnea Index test name.	CDISC Questionnaire BDI Test Name Terminology
	BDI01-Functional Impairment		C106701	BDI01-Functional Impairment	Baseline Dyspnea Index - Functional impairment.	BDI - Functional Impairment
	BDI01-Magnitude of Effort		C106703	BDI01-Magnitude of Effort	Baseline Dyspnea Index - Magnitude of effort.	BDI - Magnitude of Effort
	BDI01-Magnitude of Task		C106702	BDI01-Magnitude of Task	Baseline Dyspnea Index - Magnitude of task.	BDI - Magnitude of Task
Back to top
CL.C113852.BLCS TESTCD	QS-Bladder Control Scale Test Code (BLCS TESTCD)	text Extensible: No	C113852	QS-Bladder Control Scale Test Code	Bladder Control Scale test code.	CDISC Questionnaire Bladder Control Scale Test Code Terminology
	BLCS0101		C113953	BLCS01-Lost Control of Bladder	Bladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?	BLCS - Lost Control of Your Bladder
	BLCS0102		C113954	BLCS01-Almost Lost Control of Bladder	Bladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?	BLCS - Almost Lost Control of Your Bladder
	BLCS0103		C113955	BLCS01-Altered Activity Because Bladder	Bladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?	BLCS - Altered Activities Because Bladder Problems
	BLCS0104		C113956	BLCS01-Bladder Restricted Lifestyle	Bladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?	BLCS - Bladder Problems Restrict Overall Lifestyle
Back to top
CL.C113851.BLCS TEST	QS-Bladder Control Scale Test Name (BLCS TEST)	text Extensible: No	C113851	QS-Bladder Control Scale Test Name	Bladder Control Scale test name.	CDISC Questionnaire Bladder Control Scale Test Name Terminology
	BLCS01-Almost Lost Control of Bladder		C113954	BLCS01-Almost Lost Control of Bladder	Bladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?	BLCS - Almost Lost Control of Your Bladder
	BLCS01-Altered Activity Because Bladder		C113955	BLCS01-Altered Activity Because Bladder	Bladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?	BLCS - Altered Activities Because Bladder Problems
	BLCS01-Bladder Restricted Lifestyle		C113956	BLCS01-Bladder Restricted Lifestyle	Bladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?	BLCS - Bladder Problems Restrict Overall Lifestyle
	BLCS01-Lost Control of Bladder		C113953	BLCS01-Lost Control of Bladder	Bladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?	BLCS - Lost Control of Your Bladder
Back to top
CL.C113846.BORG CR10 TESTCD	QS-Borg CR10 Scale Test Code (BORG CR10 TESTCD)	text Extensible: No	C113846	QS-Borg CR10 Scale Test Code	Borg CR10 scale test code.	CDISC Questionnaire Borg CR10 Test Code Terminology
	BCR10101		C113888	BCR101-Rating of Breathlessness	Borg CR10 Scale - Rating of breathlessness.	Borg CR10 - Rating of Breathlessness
Back to top
CL.C113845.BORG CR10 TEST	QS-Borg CR10 Scale Test Name (BORG CR10 TEST)	text Extensible: No	C113845	QS-Borg CR10 Scale Test Name	Borg CR10 scale test name.	CDISC Questionnaire Borg CR10 Test Name Terminology
	BCR101-Rating of Breathlessness		C113888	BCR101-Rating of Breathlessness	Borg CR10 Scale - Rating of breathlessness.	Borg CR10 - Rating of Breathlessness
Back to top
CL.C113854.BWCS TESTCD	QS-Bowel Control Scale Test Code (BWCS TESTCD)	text Extensible: No	C113854	QS-Bowel Control Scale Test Code	Bowel Control Scale test code.	CDISC Questionnaire Bowel Control Scale Test Code Terminology
	BWCS0101		C113957	BWCS01-Been Constipated	Bowel Control Scale - During the past 4 weeks, how often have you been constipated?	BWCS - Been Constipated
	BWCS0102		C113958	BWCS01-Lost Control of Bowels	Bowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?	BWCS - Lost Control of Your Bowels
	BWCS0103		C113959	BWCS01-Almost Lost Control of Bowels	Bowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?	BWCS - Almost Lost Control of Your Bowels
	BWCS0104		C113960	BWCS01-Altered Activity Because Bowels	Bowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?	BWCS - Altered Activities Because Bowel Control Problems
	BWCS0105		C113961	BWCS01-Bowels Restricted Lifestyle	Bowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?	BWCS - Bowel Problems Restrict Overall Lifestyle
Back to top
CL.C113853.BWCS TEST	QS-Bowel Control Scale Test Name (BWCS TEST)	text Extensible: No	C113853	QS-Bowel Control Scale Test Name	Bowel Control Scale test name.	CDISC Questionnaire Bowel Control Scale Test Name Terminology
	BWCS01-Almost Lost Control of Bowels		C113959	BWCS01-Almost Lost Control of Bowels	Bowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?	BWCS - Almost Lost Control of Your Bowels
	BWCS01-Altered Activity Because Bowels		C113960	BWCS01-Altered Activity Because Bowels	Bowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?	BWCS - Altered Activities Because Bowel Control Problems
	BWCS01-Been Constipated		C113957	BWCS01-Been Constipated	Bowel Control Scale - During the past 4 weeks, how often have you been constipated?	BWCS - Been Constipated
	BWCS01-Bowels Restricted Lifestyle		C113961	BWCS01-Bowels Restricted Lifestyle	Bowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?	BWCS - Bowel Problems Restrict Overall Lifestyle
	BWCS01-Lost Control of Bowels		C113958	BWCS01-Lost Control of Bowels	Bowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?	BWCS - Lost Control of Your Bowels
Back to top
CL.C100164.BPI Short Form TESTCD	QS-Brief Pain Inventory Short Form Test Code (BPI Short Form TESTCD)	text Extensible: No	C100164	QS-Brief Pain Inventory Short Form Test Code	Brief Pain Inventory Short Form test code.	CDISC Questionnaire BPI Short Form Test Code Terminology
	BPI201		C100356	BPI2-Pain Other Than Everyday Kinds	Brief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?	BPI Short Form - Pain Other Than Everyday Kinds
	BPI202A		C100357	BPI2-Areas of Pain	Brief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.	BPI Short Form - Areas of Pain
	BPI202B		C100358	BPI2-Area Hurts Most	Brief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.	BPI Short Form - Area that Hurts Most
	BPI203		C100359	BPI2-Pain at its Worst in Last 24 Hours	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.	BPI Short Form - Pain at its Worst in Last 24 Hours
	BPI204		C100360	BPI2-Pain at its Least in Last 24 Hours	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.	BPI Short Form - Pain at its Least in Last 24 Hours
	BPI205		C100361	BPI2-Pain on the Average	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.	BPI Short Form - Pain on the Average
	BPI206		C100362	BPI2-Pain Right Now	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.	BPI Short Form - Pain Right Now
	BPI207		C100363	BPI2-Treatments Receiving for Pain	Brief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?	BPI Short Form - Treatments or Medications Receiving for Pain
	BPI208		C100364	BPI2-Relief Pain Treatments Provided	Brief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.	BPI Short Form - Relief from Pain Treatments Provided
	BPI209A		C100365	BPI2-Pain Interfered General Activity	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.	BPI Short Form - Pain Interfered with General Activity
	BPI209B		C100366	BPI2-Pain Interfered with Mood	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.	BPI Short Form - Pain Interfered with Mood
	BPI209C		C100367	BPI2-Pain Interfered Walking Ability	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.	BPI Short Form - Pain Interfered with Walking Ability
	BPI209D		C100368	BPI2-Pain Interfered with Normal Work	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.	BPI Short Form - Pain Interfered with Normal Work
	BPI209E		C100369	BPI2-Pain Interfered with Relations	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.	BPI Short Form - Pain Interfered with Relations
	BPI209F		C100370	BPI2-Pain Interfered with Sleep	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.	BPI Short Form - Pain Interfered with Sleep
	BPI209G		C100371	BPI2-Pain Interfered Enjoyment of Life	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.	BPI Short Form - Pain Interfered with Enjoyment of Life
Back to top
CL.C100163.BPI Short Form TEST	QS-Brief Pain Inventory Short Form Test Name (BPI Short Form TEST)	text Extensible: No	C100163	QS-Brief Pain Inventory Short Form Test Name	Brief Pain Inventory Short Form test name.	CDISC Questionnaire BPI Short Form Test Name Terminology
	BPI2-Area Hurts Most		C100358	BPI2-Area Hurts Most	Brief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.	BPI Short Form - Area that Hurts Most
	BPI2-Areas of Pain		C100357	BPI2-Areas of Pain	Brief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.	BPI Short Form - Areas of Pain
	BPI2-Pain at its Least in Last 24 Hours		C100360	BPI2-Pain at its Least in Last 24 Hours	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.	BPI Short Form - Pain at its Least in Last 24 Hours
	BPI2-Pain at its Worst in Last 24 Hours		C100359	BPI2-Pain at its Worst in Last 24 Hours	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.	BPI Short Form - Pain at its Worst in Last 24 Hours
	BPI2-Pain Interfered Enjoyment of Life		C100371	BPI2-Pain Interfered Enjoyment of Life	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.	BPI Short Form - Pain Interfered with Enjoyment of Life
	BPI2-Pain Interfered General Activity		C100365	BPI2-Pain Interfered General Activity	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.	BPI Short Form - Pain Interfered with General Activity
	BPI2-Pain Interfered Walking Ability		C100367	BPI2-Pain Interfered Walking Ability	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.	BPI Short Form - Pain Interfered with Walking Ability
	BPI2-Pain Interfered with Mood		C100366	BPI2-Pain Interfered with Mood	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.	BPI Short Form - Pain Interfered with Mood
	BPI2-Pain Interfered with Normal Work		C100368	BPI2-Pain Interfered with Normal Work	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.	BPI Short Form - Pain Interfered with Normal Work
	BPI2-Pain Interfered with Relations		C100369	BPI2-Pain Interfered with Relations	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.	BPI Short Form - Pain Interfered with Relations
	BPI2-Pain Interfered with Sleep		C100370	BPI2-Pain Interfered with Sleep	Brief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.	BPI Short Form - Pain Interfered with Sleep
	BPI2-Pain on the Average		C100361	BPI2-Pain on the Average	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.	BPI Short Form - Pain on the Average
	BPI2-Pain Other Than Everyday Kinds		C100356	BPI2-Pain Other Than Everyday Kinds	Brief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?	BPI Short Form - Pain Other Than Everyday Kinds
	BPI2-Pain Right Now		C100362	BPI2-Pain Right Now	Brief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.	BPI Short Form - Pain Right Now
	BPI2-Relief Pain Treatments Provided		C100364	BPI2-Relief Pain Treatments Provided	Brief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.	BPI Short Form - Relief from Pain Treatments Provided
	BPI2-Treatments Receiving for Pain		C100363	BPI2-Treatments Receiving for Pain	Brief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?	BPI Short Form - Treatments or Medications Receiving for Pain
Back to top
CL.C100162.BPI TESTCD	QS-Brief Pain Inventory Test Code (BPI TESTCD)	text Extensible: No	C100162	QS-Brief Pain Inventory Test Code	Brief Pain Inventory test code.	CDISC Questionnaire BPI Test Code Terminology
	BPI101		C100287	BPI1-Marital Status	Brief Pain Inventory - Marital status.	BPI - Marital Status
	BPI102		C100288	BPI1-Education	Brief Pain Inventory - Education.	BPI - Education
	BPI102A		C100289	BPI1-Professional Degree	Brief Pain Inventory - Education. Professional degree.	BPI - Professional Degree
	BPI103		C100290	BPI1-Current Occupation	Brief Pain Inventory - Current occupation.	BPI - Current Occupation
	BPI104		C100291	BPI1-Spouse's Occupation	Brief Pain Inventory - Spouse's occupation.	BPI - Spouse's Occupation
	BPI105		C100292	BPI1-Current Job Status	Brief Pain Inventory - Which of the following best describes your current job status?	BPI - Current Job Status
	BPI106		C100293	BPI1-How Long Since Diagnosis	Brief Pain Inventory - How long has it been since you first learned your diagnosis?	BPI - How Long Since Diagnosis
	BPI107		C100294	BPI1-Pain Due to Present Disease	Brief Pain Inventory - Have you ever had pain due to your present disease?	BPI - Pain Due to Present Disease
	BPI108		C100295	BPI1-Pain One of Your Symptoms	Brief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?	BPI - Pain as a Symptom
	BPI109		C100296	BPI1-Surgery in Past Month	Brief Pain Inventory - Have you had surgery in the past month?	BPI - Surgery in Past Month
	BPI109A		C100297	BPI1-Kind of Surgery in Past Month	Brief Pain Inventory - What kind of surgery have you had in the past month?	BPI - Kind of Surgery in Past Month
	BPI110		C100298	BPI1-Pain Other than Everyday Kinds	Brief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?	BPI - Pain Other than Everyday Kinds
	BPI110A		C100299	BPI1-Pain Medications in the Last 7 Days	Brief Pain Inventory - Did you take pain medications in the last 7 days?	BPI - Pain Medications in the Last 7 Days
	BPI110B		C100300	BPI1-Pain Requires Medication Daily	Brief Pain Inventory - I feel I have some form of pain that requires medication each and every day.	BPI - Pain Requires Medication Daily
	BPI111A		C100301	BPI1-Areas of Pain	Brief Pain Inventory - On the diagram, shade in the areas where you feel pain.	BPI - Areas of Pain
	BPI111B		C100302	BPI1-Area Hurts Most	Brief Pain Inventory - On the diagram, put an X on the area that hurts the most.	BPI - Area Hurts Most
	BPI112		C100303	BPI1-Pain at its Worst in Last Week	Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.	BPI - Pain at its Worst in Last Week
	BPI113		C100304	BPI1-Pain at its Least in Last Week	Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.	BPI - Pain at its Least in Last Week
	BPI114		C100305	BPI1-Pain on the Average	Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.	BPI - Pain on the Average
	BPI115		C100306	BPI1-Pain Right Now	Brief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.	BPI - Pain Right Now
	BPI116		C100307	BPI1-Things that Make Pain Feel Better	Brief Pain Inventory - What kinds of things make your pain feel better?	BPI - Things that Make Pain Feel Better
	BPI117		C100308	BPI1-Things that Make your Pain Worse	Brief Pain Inventory - What kinds of things make your pain feel worse?	BPI - Things that Make your Pain Worse
	BPI118		C100309	BPI1-Treatments Receiving for Pain	Brief Pain Inventory - What treatments or medications are you receiving for your pain?	BPI - Treatments Receiving for Pain
	BPI119		C100310	BPI1-Relief Pain Treatments Provided	Brief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.	BPI - Relief Pain Treatments Provided
	BPI120		C100311	BPI1-Hours before Pain Returns	Brief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?	BPI - Hours before Pain Returns
	BPI1211		C100312	BPI1-Pain Due to Effects of Treatment	Brief Pain Inventory - I believe my pain is due to the effects of treatment.	BPI - Pain Due to Effects of Treatment
	BPI1212		C100313	BPI1-Pain Due to Primary Disease	Brief Pain Inventory - I believe my pain is due to my primary disease.	BPI - Pain Due to Primary Disease
	BPI1213		C100314	BPI1-Pain Due to Unrelated Med Condition	Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.	BPI - Pain Due to Unrelated Medical Condition
	BPI1213A		C100315	BPI1-Describe Unrelated Med Condition	Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.	BPI - Describe Unrelated Medical Condition
	BPI122A		C100316	BPI1-Aching	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.	BPI - Aching
	BPI122B		C100317	BPI1-Throbbing	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.	BPI - Throbbing
	BPI122C		C100318	BPI1-Shooting	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.	BPI - Shooting
	BPI122D		C100319	BPI1-Stabbing	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.	BPI - Stabbing
	BPI122E		C100320	BPI1-Gnawing	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.	BPI - Gnawing
	BPI122F		C100321	BPI1-Sharp	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.	BPI - Sharp
	BPI122G		C100322	BPI1-Tender	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.	BPI - Tender
	BPI122H		C100323	BPI1-Burning	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.	BPI - Burning
	BPI122I		C100324	BPI1-Exhausting	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.	BPI - Exhausting
	BPI122J		C100325	BPI1-Tiring	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.	BPI - Tiring
	BPI122K		C100326	BPI1-Penetrating	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.	BPI - Penetrating
	BPI122L		C100327	BPI1-Nagging	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.	BPI - Nagging
	BPI122M		C100328	BPI1-Numb	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.	BPI - Numb
	BPI122N		C100329	BPI1-Miserable	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.	BPI - Miserable
	BPI122O		C100330	BPI1-Unbearable	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.	BPI - Unbearable
	BPI123A		C100331	BPI1-Pain Interfered General Activity	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.	BPI - Pain Interfered with General Activity
	BPI123B		C100332	BPI1-Pain Interfered with Mood	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.	BPI - Pain Interfered with Mood
	BPI123C		C100333	BPI1-Pain Interfered Walking Ability	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.	BPI - Pain Interfered with Walking Ability
	BPI123D		C100334	BPI1-Pain Interfered with Normal Work	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.	BPI - Pain Interfered with Normal Work
	BPI123E		C100335	BPI1-Pain Interfered with Relations	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.	BPI - Pain Interfered with Relations
	BPI123F		C100336	BPI1-Pain Interfered with Sleep	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.	BPI - Pain Interfered with Sleep
	BPI123G		C100337	BPI1-Pain Interfered Enjoyment of Life	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.	BPI - Pain Interfered with Enjoyment of Life
	BPI124		C100338	BPI1-Prefer to Take Pain Medicine	Brief Pain Inventory - I prefer to take my pain medicine.	BPI - Prefer to Take Pain Medicine
	BPI125		C100339	BPI1-Take my Pain Medicine	Brief Pain Inventory - I take my pain medicine (in a 24 hour period).	BPI - Take my Pain Medicine
	BPI126		C100340	BPI1-Need Stronger Type of Pain Med	Brief Pain Inventory - Do you feel you need a stronger type of pain medication?	BPI - Need Stronger Type of Pain Medication
	BPI127		C100341	BPI1-Need more Pain Med than Prescribed	Brief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?	BPI - Need more Pain Medication than Prescribed
	BPI128		C100342	BPI1-Concerned Use Too Much Pain Med	Brief Pain Inventory - Are you concerned that you use too much pain medication?	BPI - Concerned with Too Much Pain Medication Use
	BPI128A		C100343	BPI1-Why Concerned Use Too Much Pain Med	Brief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?	BPI - Why Concerned with Too Much Pain Medication Use
	BPI129		C100344	BPI1-Problems with Side Effects Pain Med	Brief Pain Inventory - Are you having problems with side effects from your pain medication?	BPI - Problems with Side Effects Pain Medication
	BPI129A		C100345	BPI1-Which Side Effects from Pain Med	Brief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?	BPI - What Side Effects from Pain Medication
	BPI130		C100346	BPI1-Need Further Info about Pain Med	Brief Pain Inventory - Do you feel you need to receive further information about your pain medication?	BPI - Need Further Information about Pain Medication
	BPI131A		C100347	BPI1-Warm Compresses to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: warm compresses.	BPI - Warm Compresses to Relieve Pain
	BPI131B		C100348	BPI1-Cold Compresses to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: cold compresses.	BPI - Cold Compresses to Relieve Pain
	BPI131C		C100349	BPI1-Relaxation Techniques Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.	BPI - Relaxation Techniques Relieve Pain
	BPI131D		C100350	BPI1-Distraction to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: distraction.	BPI - Distraction to Relieve Pain
	BPI131E		C100351	BPI1-Biofeedback to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: biofeedback.	BPI - Biofeedback to Relieve Pain
	BPI131F		C100352	BPI1-Hypnosis to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: hypnosis.	BPI - Hypnosis to Relieve Pain
	BPI131G		C100353	BPI1-Other to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: other.	BPI - Other Methods to Relieve Pain
	BPI131H		C100354	BPI1-Other specify to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.	BPI - Specified Other Method to Relieve Pain
	BPI132		C100355	BPI1-Meds not Prescribed Taken for Pain	Brief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.	BPI - Medications not Prescribed Taken for Pain
Back to top
CL.C100161.BPI TEST	QS-Brief Pain Inventory Test Name (BPI TEST)	text Extensible: No	C100161	QS-Brief Pain Inventory Test Name	Brief Pain Inventory test name.	CDISC Questionnaire BPI Test Name Terminology
	BPI1-Aching		C100316	BPI1-Aching	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.	BPI - Aching
	BPI1-Area Hurts Most		C100302	BPI1-Area Hurts Most	Brief Pain Inventory - On the diagram, put an X on the area that hurts the most.	BPI - Area Hurts Most
	BPI1-Areas of Pain		C100301	BPI1-Areas of Pain	Brief Pain Inventory - On the diagram, shade in the areas where you feel pain.	BPI - Areas of Pain
	BPI1-Biofeedback to Relieve Pain		C100351	BPI1-Biofeedback to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: biofeedback.	BPI - Biofeedback to Relieve Pain
	BPI1-Burning		C100323	BPI1-Burning	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.	BPI - Burning
	BPI1-Cold Compresses to Relieve Pain		C100348	BPI1-Cold Compresses to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: cold compresses.	BPI - Cold Compresses to Relieve Pain
	BPI1-Concerned Use Too Much Pain Med		C100342	BPI1-Concerned Use Too Much Pain Med	Brief Pain Inventory - Are you concerned that you use too much pain medication?	BPI - Concerned with Too Much Pain Medication Use
	BPI1-Current Job Status		C100292	BPI1-Current Job Status	Brief Pain Inventory - Which of the following best describes your current job status?	BPI - Current Job Status
	BPI1-Current Occupation		C100290	BPI1-Current Occupation	Brief Pain Inventory - Current occupation.	BPI - Current Occupation
	BPI1-Describe Unrelated Med Condition		C100315	BPI1-Describe Unrelated Med Condition	Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.	BPI - Describe Unrelated Medical Condition
	BPI1-Distraction to Relieve Pain		C100350	BPI1-Distraction to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: distraction.	BPI - Distraction to Relieve Pain
	BPI1-Education		C100288	BPI1-Education	Brief Pain Inventory - Education.	BPI - Education
	BPI1-Exhausting		C100324	BPI1-Exhausting	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.	BPI - Exhausting
	BPI1-Gnawing		C100320	BPI1-Gnawing	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.	BPI - Gnawing
	BPI1-Hours before Pain Returns		C100311	BPI1-Hours before Pain Returns	Brief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?	BPI - Hours before Pain Returns
	BPI1-How Long Since Diagnosis		C100293	BPI1-How Long Since Diagnosis	Brief Pain Inventory - How long has it been since you first learned your diagnosis?	BPI - How Long Since Diagnosis
	BPI1-Hypnosis to Relieve Pain		C100352	BPI1-Hypnosis to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: hypnosis.	BPI - Hypnosis to Relieve Pain
	BPI1-Kind of Surgery in Past Month		C100297	BPI1-Kind of Surgery in Past Month	Brief Pain Inventory - What kind of surgery have you had in the past month?	BPI - Kind of Surgery in Past Month
	BPI1-Marital Status		C100287	BPI1-Marital Status	Brief Pain Inventory - Marital status.	BPI - Marital Status
	BPI1-Meds not Prescribed Taken for Pain		C100355	BPI1-Meds not Prescribed Taken for Pain	Brief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.	BPI - Medications not Prescribed Taken for Pain
	BPI1-Miserable		C100329	BPI1-Miserable	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.	BPI - Miserable
	BPI1-Nagging		C100327	BPI1-Nagging	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.	BPI - Nagging
	BPI1-Need Further Info about Pain Med		C100346	BPI1-Need Further Info about Pain Med	Brief Pain Inventory - Do you feel you need to receive further information about your pain medication?	BPI - Need Further Information about Pain Medication
	BPI1-Need more Pain Med than Prescribed		C100341	BPI1-Need more Pain Med than Prescribed	Brief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?	BPI - Need more Pain Medication than Prescribed
	BPI1-Need Stronger Type of Pain Med		C100340	BPI1-Need Stronger Type of Pain Med	Brief Pain Inventory - Do you feel you need a stronger type of pain medication?	BPI - Need Stronger Type of Pain Medication
	BPI1-Numb		C100328	BPI1-Numb	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.	BPI - Numb
	BPI1-Other specify to Relieve Pain		C100354	BPI1-Other specify to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.	BPI - Specified Other Method to Relieve Pain
	BPI1-Other to Relieve Pain		C100353	BPI1-Other to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: other.	BPI - Other Methods to Relieve Pain
	BPI1-Pain at its Least in Last Week		C100304	BPI1-Pain at its Least in Last Week	Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.	BPI - Pain at its Least in Last Week
	BPI1-Pain at its Worst in Last Week		C100303	BPI1-Pain at its Worst in Last Week	Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.	BPI - Pain at its Worst in Last Week
	BPI1-Pain Due to Effects of Treatment		C100312	BPI1-Pain Due to Effects of Treatment	Brief Pain Inventory - I believe my pain is due to the effects of treatment.	BPI - Pain Due to Effects of Treatment
	BPI1-Pain Due to Present Disease		C100294	BPI1-Pain Due to Present Disease	Brief Pain Inventory - Have you ever had pain due to your present disease?	BPI - Pain Due to Present Disease
	BPI1-Pain Due to Primary Disease		C100313	BPI1-Pain Due to Primary Disease	Brief Pain Inventory - I believe my pain is due to my primary disease.	BPI - Pain Due to Primary Disease
	BPI1-Pain Due to Unrelated Med Condition		C100314	BPI1-Pain Due to Unrelated Med Condition	Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.	BPI - Pain Due to Unrelated Medical Condition
	BPI1-Pain Interfered Enjoyment of Life		C100337	BPI1-Pain Interfered Enjoyment of Life	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.	BPI - Pain Interfered with Enjoyment of Life
	BPI1-Pain Interfered General Activity		C100331	BPI1-Pain Interfered General Activity	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.	BPI - Pain Interfered with General Activity
	BPI1-Pain Interfered Walking Ability		C100333	BPI1-Pain Interfered Walking Ability	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.	BPI - Pain Interfered with Walking Ability
	BPI1-Pain Interfered with Mood		C100332	BPI1-Pain Interfered with Mood	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.	BPI - Pain Interfered with Mood
	BPI1-Pain Interfered with Normal Work		C100334	BPI1-Pain Interfered with Normal Work	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.	BPI - Pain Interfered with Normal Work
	BPI1-Pain Interfered with Relations		C100335	BPI1-Pain Interfered with Relations	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.	BPI - Pain Interfered with Relations
	BPI1-Pain Interfered with Sleep		C100336	BPI1-Pain Interfered with Sleep	Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.	BPI - Pain Interfered with Sleep
	BPI1-Pain Medications in the Last 7 Days		C100299	BPI1-Pain Medications in the Last 7 Days	Brief Pain Inventory - Did you take pain medications in the last 7 days?	BPI - Pain Medications in the Last 7 Days
	BPI1-Pain on the Average		C100305	BPI1-Pain on the Average	Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.	BPI - Pain on the Average
	BPI1-Pain One of Your Symptoms		C100295	BPI1-Pain One of Your Symptoms	Brief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?	BPI - Pain as a Symptom
	BPI1-Pain Other than Everyday Kinds		C100298	BPI1-Pain Other than Everyday Kinds	Brief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?	BPI - Pain Other than Everyday Kinds
	BPI1-Pain Requires Medication Daily		C100300	BPI1-Pain Requires Medication Daily	Brief Pain Inventory - I feel I have some form of pain that requires medication each and every day.	BPI - Pain Requires Medication Daily
	BPI1-Pain Right Now		C100306	BPI1-Pain Right Now	Brief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.	BPI - Pain Right Now
	BPI1-Penetrating		C100326	BPI1-Penetrating	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.	BPI - Penetrating
	BPI1-Prefer to Take Pain Medicine		C100338	BPI1-Prefer to Take Pain Medicine	Brief Pain Inventory - I prefer to take my pain medicine.	BPI - Prefer to Take Pain Medicine
	BPI1-Problems with Side Effects Pain Med		C100344	BPI1-Problems with Side Effects Pain Med	Brief Pain Inventory - Are you having problems with side effects from your pain medication?	BPI - Problems with Side Effects Pain Medication
	BPI1-Professional Degree		C100289	BPI1-Professional Degree	Brief Pain Inventory - Education. Professional degree.	BPI - Professional Degree
	BPI1-Relaxation Techniques Relieve Pain		C100349	BPI1-Relaxation Techniques Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.	BPI - Relaxation Techniques Relieve Pain
	BPI1-Relief Pain Treatments Provided		C100310	BPI1-Relief Pain Treatments Provided	Brief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.	BPI - Relief Pain Treatments Provided
	BPI1-Sharp		C100321	BPI1-Sharp	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.	BPI - Sharp
	BPI1-Shooting		C100318	BPI1-Shooting	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.	BPI - Shooting
	BPI1-Spouse's Occupation		C100291	BPI1-Spouse's Occupation	Brief Pain Inventory - Spouse's occupation.	BPI - Spouse's Occupation
	BPI1-Stabbing		C100319	BPI1-Stabbing	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.	BPI - Stabbing
	BPI1-Surgery in Past Month		C100296	BPI1-Surgery in Past Month	Brief Pain Inventory - Have you had surgery in the past month?	BPI - Surgery in Past Month
	BPI1-Take my Pain Medicine		C100339	BPI1-Take my Pain Medicine	Brief Pain Inventory - I take my pain medicine (in a 24 hour period).	BPI - Take my Pain Medicine
	BPI1-Tender		C100322	BPI1-Tender	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.	BPI - Tender
	BPI1-Things that Make Pain Feel Better		C100307	BPI1-Things that Make Pain Feel Better	Brief Pain Inventory - What kinds of things make your pain feel better?	BPI - Things that Make Pain Feel Better
	BPI1-Things that Make your Pain Worse		C100308	BPI1-Things that Make your Pain Worse	Brief Pain Inventory - What kinds of things make your pain feel worse?	BPI - Things that Make your Pain Worse
	BPI1-Throbbing		C100317	BPI1-Throbbing	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.	BPI - Throbbing
	BPI1-Tiring		C100325	BPI1-Tiring	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.	BPI - Tiring
	BPI1-Treatments Receiving for Pain		C100309	BPI1-Treatments Receiving for Pain	Brief Pain Inventory - What treatments or medications are you receiving for your pain?	BPI - Treatments Receiving for Pain
	BPI1-Unbearable		C100330	BPI1-Unbearable	Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.	BPI - Unbearable
	BPI1-Warm Compresses to Relieve Pain		C100347	BPI1-Warm Compresses to Relieve Pain	Brief Pain Inventory - Other methods I use to relieve pain include: warm compresses.	BPI - Warm Compresses to Relieve Pain
	BPI1-Which Side Effects from Pain Med		C100345	BPI1-Which Side Effects from Pain Med	Brief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?	BPI - What Side Effects from Pain Medication
	BPI1-Why Concerned Use Too Much Pain Med		C100343	BPI1-Why Concerned Use Too Much Pain Med	Brief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?	BPI - Why Concerned with Too Much Pain Medication Use
Back to top
CL.C100134.BPRS-A TESTCD	QS-Brief Psychiatric Rating Scale-A Test Code (BPRS-A TESTCD)	text Extensible: No	C100134	QS-Brief Psychiatric Rating Scale-A Test Code	The Brief Psychiatric Rating Scale-A test code.	CDISC Questionnaire BPRS-A Test Code Terminology
	BPR0101		C100372	BPR01-Somatic Concern	Brief Psychiatric Rating Scale-A - Somatic Concern.	BPRS-A - Somatic Concern
	BPR0102		C100373	BPR01-Anxiety	Brief Psychiatric Rating Scale-A - Anxiety.	BPRS-A - Anxiety
	BPR0103		C100374	BPR01-Emotional Withdrawal	Brief Psychiatric Rating Scale-A - Emotional Withdrawal.	BPRS-A - Emotional Withdrawal
	BPR0104		C100375	BPR01-Conceptual Disorganization	Brief Psychiatric Rating Scale-A - Conceptual Disorganization.	BPRS-A - Conceptual Disorganization
	BPR0105		C100376	BPR01-Guilt Feelings	Brief Psychiatric Rating Scale-A - Guilt Feelings.	BPRS-A - Guilt Feelings
	BPR0106		C100377	BPR01-Tension	Brief Psychiatric Rating Scale-A - Tension.	BPRS-A - Tension
	BPR0107		C100378	BPR01-Mannerisms and Posturing	Brief Psychiatric Rating Scale-A - Mannerisms and Posturing.	BPRS-A - Mannerisms and Posturing
	BPR0108		C100379	BPR01-Grandiosity	Brief Psychiatric Rating Scale-A - Grandiosity.	BPRS-A - Grandiosity
	BPR0109		C100380	BPR01-Depressive Mood	Brief Psychiatric Rating Scale-A - Depressive Mood.	BPRS-A - Depressive Mood
	BPR0110		C100381	BPR01-Hostility	Brief Psychiatric Rating Scale-A - Hostility.	BPRS-A - Hostility
	BPR0111		C100382	BPR01-Suspiciousness	Brief Psychiatric Rating Scale-A - Suspiciousness.	BPRS-A - Suspiciousness
	BPR0112		C100383	BPR01-Hallucinatory Behavior	Brief Psychiatric Rating Scale-A - Hallucinatory Behavior.	BPRS-A - Hallucinatory Behavior
	BPR0113		C100384	BPR01-Motor Retardation	Brief Psychiatric Rating Scale-A - Motor Retardation.	BPRS-A - Motor Retardation
	BPR0114		C100385	BPR01-Uncooperativeness	Brief Psychiatric Rating Scale-A - Uncooperativeness.	BPRS-A - Uncooperativeness
	BPR0115		C100386	BPR01-Unusual Thought Content	Brief Psychiatric Rating Scale-A - Unusual Thought Content.	BPRS-A - Unusual Thought Content
	BPR0116		C100387	BPR01-Blunted Affect	Brief Psychiatric Rating Scale-A - Blunted Affect.	BPRS-A - Blunted Affect
	BPR0117		C100388	BPR01-Excitement	Brief Psychiatric Rating Scale-A - Excitement.	BPRS-A - Excitement
	BPR0118		C100389	BPR01-Disorientation	Brief Psychiatric Rating Scale-A - Disorientation.	BPRS-A - Disorientation
Back to top
CL.C100133.BPRS-A TEST	QS-Brief Psychiatric Rating Scale-A Test Name (BPRS-A TEST)	text Extensible: No	C100133	QS-Brief Psychiatric Rating Scale-A Test Name	The Brief Psychiatric Rating Scale-A test name.	CDISC Questionnaire BPRS-A Test Name Terminology
	BPR01-Anxiety		C100373	BPR01-Anxiety	Brief Psychiatric Rating Scale-A - Anxiety.	BPRS-A - Anxiety
	BPR01-Blunted Affect		C100387	BPR01-Blunted Affect	Brief Psychiatric Rating Scale-A - Blunted Affect.	BPRS-A - Blunted Affect
	BPR01-Conceptual Disorganization		C100375	BPR01-Conceptual Disorganization	Brief Psychiatric Rating Scale-A - Conceptual Disorganization.	BPRS-A - Conceptual Disorganization
	BPR01-Depressive Mood		C100380	BPR01-Depressive Mood	Brief Psychiatric Rating Scale-A - Depressive Mood.	BPRS-A - Depressive Mood
	BPR01-Disorientation		C100389	BPR01-Disorientation	Brief Psychiatric Rating Scale-A - Disorientation.	BPRS-A - Disorientation
	BPR01-Emotional Withdrawal		C100374	BPR01-Emotional Withdrawal	Brief Psychiatric Rating Scale-A - Emotional Withdrawal.	BPRS-A - Emotional Withdrawal
	BPR01-Excitement		C100388	BPR01-Excitement	Brief Psychiatric Rating Scale-A - Excitement.	BPRS-A - Excitement
	BPR01-Grandiosity		C100379	BPR01-Grandiosity	Brief Psychiatric Rating Scale-A - Grandiosity.	BPRS-A - Grandiosity
	BPR01-Guilt Feelings		C100376	BPR01-Guilt Feelings	Brief Psychiatric Rating Scale-A - Guilt Feelings.	BPRS-A - Guilt Feelings
	BPR01-Hallucinatory Behavior		C100383	BPR01-Hallucinatory Behavior	Brief Psychiatric Rating Scale-A - Hallucinatory Behavior.	BPRS-A - Hallucinatory Behavior
	BPR01-Hostility		C100381	BPR01-Hostility	Brief Psychiatric Rating Scale-A - Hostility.	BPRS-A - Hostility
	BPR01-Mannerisms and Posturing		C100378	BPR01-Mannerisms and Posturing	Brief Psychiatric Rating Scale-A - Mannerisms and Posturing.	BPRS-A - Mannerisms and Posturing
	BPR01-Motor Retardation		C100384	BPR01-Motor Retardation	Brief Psychiatric Rating Scale-A - Motor Retardation.	BPRS-A - Motor Retardation
	BPR01-Somatic Concern		C100372	BPR01-Somatic Concern	Brief Psychiatric Rating Scale-A - Somatic Concern.	BPRS-A - Somatic Concern
	BPR01-Suspiciousness		C100382	BPR01-Suspiciousness	Brief Psychiatric Rating Scale-A - Suspiciousness.	BPRS-A - Suspiciousness
	BPR01-Tension		C100377	BPR01-Tension	Brief Psychiatric Rating Scale-A - Tension.	BPRS-A - Tension
	BPR01-Uncooperativeness		C100385	BPR01-Uncooperativeness	Brief Psychiatric Rating Scale-A - Uncooperativeness.	BPRS-A - Uncooperativeness
	BPR01-Unusual Thought Content		C100386	BPR01-Unusual Thought Content	Brief Psychiatric Rating Scale-A - Unusual Thought Content.	BPRS-A - Unusual Thought Content
Back to top
CL.C120979.CRQ-SAS FIRST ADMINISTRATION VERSION TESTCD	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code (CRQ-SAS FIRST ADMINISTRATION VERSION TESTCD)	text Extensible: No	C120979	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code	Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test code.	CDISC Questionnaire CRQ-SAS First Administration Version Test Code Terminology
	CRQ0101		C121010	CRQ01-Feeling Emotional	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset.	CRQ-SAS First Administration Version - Feeling Emotional
	CRQ0102		C121011	CRQ01-Take Care of Basic Needs	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs.	CRQ-SAS First Administration Version - Take Care of Basic Needs
	CRQ0103		C121012	CRQ01-Walking	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking.	CRQ-SAS First Administration Version - Walking
	CRQ0104		C121013	CRQ01-Performing Chores	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores.	CRQ-SAS First Administration Version - Performing Chores
	CRQ0105		C121014	CRQ01-Participate in Social Activities	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities.	CRQ-SAS First Administration Version - Participate in Social Activities
	CRQ0106		C121015	CRQ01-Felt Frustrated or Impatient	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?	CRQ-SAS First Administration Version - Felt Frustrated or Impatient
	CRQ0107		C121016	CRQ01-Feeling of Fear or Panic	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?	CRQ-SAS First Administration Version - Feeling of Fear or Panic
	CRQ0108		C121017	CRQ01-Fatigue	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?	CRQ-SAS First Administration Version - Fatigue
	CRQ0109		C121018	CRQ01-Embarrassed by Coughing	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?	CRQ-SAS First Administration Version - Embarrassed by Coughing
	CRQ0110		C121019	CRQ01-Confident to Deal With Illness	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?	CRQ-SAS First Administration Version - Feel Confident to Deal With Illness
	CRQ0111		C121020	CRQ01-Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks?	CRQ-SAS First Administration Version - Energy
	CRQ0112		C121021	CRQ01-Feel Upset, Worried or Depressed	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?	CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed
	CRQ0113		C121022	CRQ01-Control of Breathing Problems	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?	CRQ-SAS First Administration Version - Had Control of Breathing Problems
	CRQ0114		C121023	CRQ01-Feel Relaxed and Free of Tension	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?	CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension
	CRQ0115		C121024	CRQ01-Felt Low in Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy?	CRQ-SAS First Administration Version - Felt Low in Energy
	CRQ0116		C121025	CRQ01-Felt Discouraged or Down	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?	CRQ-SAS First Administration Version - Felt Discouraged or Down
	CRQ0117		C121026	CRQ01-Felt Worn Out or Sluggish	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?	CRQ-SAS First Administration Version - Felt Worn Out or Sluggish
	CRQ0118		C121027	CRQ01-Happy, Satisfied or Pleased	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?	CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life
	CRQ0119		C121028	CRQ01-Feel Upset Diff Getting Breath	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?	CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath
	CRQ0120		C121029	CRQ01-Felt Restless, Tense or Uptight	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?	CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight
Back to top
CL.C120978.CRQ-SAS FIRST ADMINISTRATION VERSION TEST	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name (CRQ-SAS FIRST ADMINISTRATION VERSION TEST)	text Extensible: No	C120978	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name	Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test name.	CDISC Questionnaire CRQ-SAS First Administration Version Test Name Terminology
	CRQ01-Confident to Deal With Illness		C121019	CRQ01-Confident to Deal With Illness	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?	CRQ-SAS First Administration Version - Feel Confident to Deal With Illness
	CRQ01-Control of Breathing Problems		C121022	CRQ01-Control of Breathing Problems	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?	CRQ-SAS First Administration Version - Had Control of Breathing Problems
	CRQ01-Embarrassed by Coughing		C121018	CRQ01-Embarrassed by Coughing	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?	CRQ-SAS First Administration Version - Embarrassed by Coughing
	CRQ01-Energy		C121020	CRQ01-Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks?	CRQ-SAS First Administration Version - Energy
	CRQ01-Fatigue		C121017	CRQ01-Fatigue	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?	CRQ-SAS First Administration Version - Fatigue
	CRQ01-Feel Relaxed and Free of Tension		C121023	CRQ01-Feel Relaxed and Free of Tension	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?	CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension
	CRQ01-Feel Upset Diff Getting Breath		C121028	CRQ01-Feel Upset Diff Getting Breath	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?	CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath
	CRQ01-Feel Upset, Worried or Depressed		C121021	CRQ01-Feel Upset, Worried or Depressed	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?	CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed
	CRQ01-Feeling Emotional		C121010	CRQ01-Feeling Emotional	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset.	CRQ-SAS First Administration Version - Feeling Emotional
	CRQ01-Feeling of Fear or Panic		C121016	CRQ01-Feeling of Fear or Panic	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?	CRQ-SAS First Administration Version - Feeling of Fear or Panic
	CRQ01-Felt Discouraged or Down		C121025	CRQ01-Felt Discouraged or Down	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?	CRQ-SAS First Administration Version - Felt Discouraged or Down
	CRQ01-Felt Frustrated or Impatient		C121015	CRQ01-Felt Frustrated or Impatient	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?	CRQ-SAS First Administration Version - Felt Frustrated or Impatient
	CRQ01-Felt Low in Energy		C121024	CRQ01-Felt Low in Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy?	CRQ-SAS First Administration Version - Felt Low in Energy
	CRQ01-Felt Restless, Tense or Uptight		C121029	CRQ01-Felt Restless, Tense or Uptight	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?	CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight
	CRQ01-Felt Worn Out or Sluggish		C121026	CRQ01-Felt Worn Out or Sluggish	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?	CRQ-SAS First Administration Version - Felt Worn Out or Sluggish
	CRQ01-Happy, Satisfied or Pleased		C121027	CRQ01-Happy, Satisfied or Pleased	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?	CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life
	CRQ01-Participate in Social Activities		C121014	CRQ01-Participate in Social Activities	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities.	CRQ-SAS First Administration Version - Participate in Social Activities
	CRQ01-Performing Chores		C121013	CRQ01-Performing Chores	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores.	CRQ-SAS First Administration Version - Performing Chores
	CRQ01-Take Care of Basic Needs		C121011	CRQ01-Take Care of Basic Needs	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs.	CRQ-SAS First Administration Version - Take Care of Basic Needs
	CRQ01-Walking		C121012	CRQ01-Walking	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking.	CRQ-SAS First Administration Version - Walking
Back to top
CL.C120981.CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTCD	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code (CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTCD)	text Extensible: No	C120981	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code	Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test code.	CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Code Terminology
	CRQ0201		C121030	CRQ02-Feeling Emotional	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset.	CRQ-SAS Follow-Up Administration Version - Feeling Emotional
	CRQ0202		C121031	CRQ02-Take Care of Basic Needs	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs.	CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs
	CRQ0203		C121032	CRQ02-Walking	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking.	CRQ-SAS Follow-Up Administration Version - Walking
	CRQ0204		C121033	CRQ02-Performing Chores	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores.	CRQ-SAS Follow-Up Administration Version - Performing Chores
	CRQ0205		C121034	CRQ02-Participate in Social Activities	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities.	CRQ-SAS Follow-Up Administration Version - Participate in Social Activities
	CRQ0206		C121035	CRQ02-Felt Frustrated or Impatient	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?	CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient
	CRQ0207		C121036	CRQ02-Feeling of Fear or Panic	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?	CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic
	CRQ0208		C121037	CRQ02-Fatigue	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Fatigue
	CRQ0209		C121038	CRQ02-Embarrassed by Coughing	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?	CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing
	CRQ0210		C121039	CRQ02-Confident to Deal With Illness	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?	CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness
	CRQ0211		C121040	CRQ02-Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Energy
	CRQ0212		C121041	CRQ02-Feel Upset, Worried or Depressed	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed
	CRQ0213		C121042	CRQ02-Control of Breathing Problems	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?	CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems
	CRQ0214		C121043	CRQ02-Feel Relaxed and Free of Tension	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?	CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension
	CRQ0215		C121044	CRQ02-Felt Low in Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy?	CRQ-SAS Follow-Up Administration Version - Felt Low in Energy
	CRQ0216		C121045	CRQ02-Felt Discouraged or Down	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?	CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down
	CRQ0217		C121046	CRQ02-Felt Worn Out or Sluggish	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?	CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish
	CRQ0218		C121047	CRQ02-Happy, Satisfied or Pleased	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life
	CRQ0219		C121048	CRQ02-Feel Upset Diff Getting Breath	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?	CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath
	CRQ0220		C121049	CRQ02-Felt Restless, Tense or Uptight	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?	CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight
Back to top
CL.C120980.CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TEST	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name (CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TEST)	text Extensible: No	C120980	QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name	Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test name.	CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Name Terminology
	CRQ02-Confident to Deal With Illness		C121039	CRQ02-Confident to Deal With Illness	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?	CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness
	CRQ02-Control of Breathing Problems		C121042	CRQ02-Control of Breathing Problems	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?	CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems
	CRQ02-Embarrassed by Coughing		C121038	CRQ02-Embarrassed by Coughing	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?	CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing
	CRQ02-Energy		C121040	CRQ02-Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Energy
	CRQ02-Fatigue		C121037	CRQ02-Fatigue	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Fatigue
	CRQ02-Feel Relaxed and Free of Tension		C121043	CRQ02-Feel Relaxed and Free of Tension	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?	CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension
	CRQ02-Feel Upset Diff Getting Breath		C121048	CRQ02-Feel Upset Diff Getting Breath	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?	CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath
	CRQ02-Feel Upset, Worried or Depressed		C121041	CRQ02-Feel Upset, Worried or Depressed	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed
	CRQ02-Feeling Emotional		C121030	CRQ02-Feeling Emotional	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset.	CRQ-SAS Follow-Up Administration Version - Feeling Emotional
	CRQ02-Feeling of Fear or Panic		C121036	CRQ02-Feeling of Fear or Panic	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?	CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic
	CRQ02-Felt Discouraged or Down		C121045	CRQ02-Felt Discouraged or Down	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?	CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down
	CRQ02-Felt Frustrated or Impatient		C121035	CRQ02-Felt Frustrated or Impatient	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?	CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient
	CRQ02-Felt Low in Energy		C121044	CRQ02-Felt Low in Energy	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy?	CRQ-SAS Follow-Up Administration Version - Felt Low in Energy
	CRQ02-Felt Restless, Tense or Uptight		C121049	CRQ02-Felt Restless, Tense or Uptight	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?	CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight
	CRQ02-Felt Worn Out or Sluggish		C121046	CRQ02-Felt Worn Out or Sluggish	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?	CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish
	CRQ02-Happy, Satisfied or Pleased		C121047	CRQ02-Happy, Satisfied or Pleased	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?	CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life
	CRQ02-Participate in Social Activities		C121034	CRQ02-Participate in Social Activities	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities.	CRQ-SAS Follow-Up Administration Version - Participate in Social Activities
	CRQ02-Performing Chores		C121033	CRQ02-Performing Chores	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores.	CRQ-SAS Follow-Up Administration Version - Performing Chores
	CRQ02-Take Care of Basic Needs		C121031	CRQ02-Take Care of Basic Needs	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs.	CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs
	CRQ02-Walking		C121032	CRQ02-Walking	Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking.	CRQ-SAS Follow-Up Administration Version - Walking
Back to top
CL.C119066.CCQ 1 Week Version TESTCD	QS-Clinical COPD Questionnaire 1 Week Version Test Code (CCQ 1 Week Version TESTCD)	text Extensible: No	C119066	QS-Clinical COPD Questionnaire 1 Week Version Test Code	Clinical COPD Questionnaire 1 Week Version test code.	CDISC Questionnaire CCQ 1 Week Version Test Code Terminology
	CCQ0201		C119132	CCQ02-Short of Breath at Rest	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest?	CCQ 1 Week Version - Short of Breath at Rest
	CCQ0202		C119133	CCQ02-Short of Breath Physical Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities?	CCQ 1 Week Version - Short of Breath Doing Physical Activity
	CCQ0203		C119134	CCQ02-Concern About Breathing Get Worse	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse?	CCQ 1 Week Version - Concern About Breathing Get Worse
	CCQ0204		C119135	CCQ02-Depressed for Breathing Problem	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems?	CCQ 1 Week Version - Depressed Because of Breathing Problem
	CCQ0205		C119136	CCQ02-Cough	Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough?	CCQ 1 Week Version - Did You Cough
	CCQ0206		C119137	CCQ02-Produce Sputum or Phlegm	Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm?	CCQ 1 Week Version - Produce Sputum or Phlegm
	CCQ0207		C119138	CCQ02-Breathing Limit Strenuous Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities?	CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity
	CCQ0208		C119139	CCQ02-Breathing Limit Moderate Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities?	CCQ 1 Week Version - Breathing Problems Limit Moderate Activity
	CCQ0209		C119140	CCQ02-Breathing Limit Daily Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home?	CCQ 1 Week Version - Breathing Problems Limit Daily Activity
	CCQ0210		C119141	CCQ02-Breathing Limit Social Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities?	CCQ 1 Week Version - Breathing Problems Limit Social Activity
Back to top
CL.C119065.CCQ 1 Week Version TEST	QS-Clinical COPD Questionnaire 1 Week Version Test Name (CCQ 1 Week Version TEST)	text Extensible: No	C119065	QS-Clinical COPD Questionnaire 1 Week Version Test Name	Clinical COPD Questionnaire 1 Week Version test name.	CDISC Questionnaire CCQ 1 Week Version Test Name Terminology
	CCQ02-Breathing Limit Daily Activity		C119140	CCQ02-Breathing Limit Daily Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home?	CCQ 1 Week Version - Breathing Problems Limit Daily Activity
	CCQ02-Breathing Limit Moderate Activity		C119139	CCQ02-Breathing Limit Moderate Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities?	CCQ 1 Week Version - Breathing Problems Limit Moderate Activity
	CCQ02-Breathing Limit Social Activity		C119141	CCQ02-Breathing Limit Social Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities?	CCQ 1 Week Version - Breathing Problems Limit Social Activity
	CCQ02-Breathing Limit Strenuous Activity		C119138	CCQ02-Breathing Limit Strenuous Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities?	CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity
	CCQ02-Concern About Breathing Get Worse		C119134	CCQ02-Concern About Breathing Get Worse	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse?	CCQ 1 Week Version - Concern About Breathing Get Worse
	CCQ02-Cough		C119136	CCQ02-Cough	Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough?	CCQ 1 Week Version - Did You Cough
	CCQ02-Depressed for Breathing Problem		C119135	CCQ02-Depressed for Breathing Problem	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems?	CCQ 1 Week Version - Depressed Because of Breathing Problem
	CCQ02-Produce Sputum or Phlegm		C119137	CCQ02-Produce Sputum or Phlegm	Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm?	CCQ 1 Week Version - Produce Sputum or Phlegm
	CCQ02-Short of Breath at Rest		C119132	CCQ02-Short of Breath at Rest	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest?	CCQ 1 Week Version - Short of Breath at Rest
	CCQ02-Short of Breath Physical Activity		C119133	CCQ02-Short of Breath Physical Activity	Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities?	CCQ 1 Week Version - Short of Breath Doing Physical Activity
Back to top
CL.C119064.CCQ 24 Hour Version TESTCD	QS-Clinical COPD Questionnaire 24 Hour Version Test Code (CCQ 24 Hour Version TESTCD)	text Extensible: No	C119064	QS-Clinical COPD Questionnaire 24 Hour Version Test Code	Clinical COPD Questionnaire 24 Hour Version test code.	CDISC Questionnaire CCQ 24 Hour Version Test Code Terminology
	CCQ0101		C119122	CCQ01-Short of Breath at Rest	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest?	CCQ 24 Hour Version - Short of Breath at Rest
	CCQ0102		C119123	CCQ01-Short of Breath Physical Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities?	CCQ 24 Hour Version - Short of Breath Doing Physical Activity
	CCQ0103		C119124	CCQ01-Concern About Breathing Get Worse	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse?	CCQ 24 Hour Version - Concern About Breathing Get Worse
	CCQ0104		C119125	CCQ01-Depressed for Breathing Problem	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems?	CCQ 24 Hour Version - Depressed Because of Breathing Problem
	CCQ0105		C119126	CCQ01-Cough	Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough?	CCQ 24 Hour Version - Did You Cough
	CCQ0106		C119127	CCQ01-Produce Sputum or Phlegm	Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm?	CCQ 24 Hour Version - Produce Sputum or Phlegm
	CCQ0107		C119128	CCQ01-Breathing Limit Strenuous Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities?	CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity
	CCQ0108		C119129	CCQ01-Breathing Limit Moderate Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities?	CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity
	CCQ0109		C119130	CCQ01-Breathing Limit Daily Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home?	CCQ 24 Hour Version - Breathing Problems Limit Daily Activity
	CCQ0110		C119131	CCQ01-Breathing Limit Social Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities?	CCQ 24 Hour Version - Breathing Problems Limit Social Activity
Back to top
CL.C119063.CCQ 24 Hour Version TEST	QS-Clinical COPD Questionnaire 24 Hour Version Test Name (CCQ 24 Hour Version TEST)	text Extensible: No	C119063	QS-Clinical COPD Questionnaire 24 Hour Version Test Name	Clinical COPD Questionnaire 24 Hour Version test name.	CDISC Questionnaire CCQ 24 Hour Version Test Name Terminology
	CCQ01-Breathing Limit Daily Activity		C119130	CCQ01-Breathing Limit Daily Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home?	CCQ 24 Hour Version - Breathing Problems Limit Daily Activity
	CCQ01-Breathing Limit Moderate Activity		C119129	CCQ01-Breathing Limit Moderate Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities?	CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity
	CCQ01-Breathing Limit Social Activity		C119131	CCQ01-Breathing Limit Social Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities?	CCQ 24 Hour Version - Breathing Problems Limit Social Activity
	CCQ01-Breathing Limit Strenuous Activity		C119128	CCQ01-Breathing Limit Strenuous Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities?	CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity
	CCQ01-Concern About Breathing Get Worse		C119124	CCQ01-Concern About Breathing Get Worse	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse?	CCQ 24 Hour Version - Concern About Breathing Get Worse
	CCQ01-Cough		C119126	CCQ01-Cough	Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough?	CCQ 24 Hour Version - Did You Cough
	CCQ01-Depressed for Breathing Problem		C119125	CCQ01-Depressed for Breathing Problem	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems?	CCQ 24 Hour Version - Depressed Because of Breathing Problem
	CCQ01-Produce Sputum or Phlegm		C119127	CCQ01-Produce Sputum or Phlegm	Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm?	CCQ 24 Hour Version - Produce Sputum or Phlegm
	CCQ01-Short of Breath at Rest		C119122	CCQ01-Short of Breath at Rest	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest?	CCQ 24 Hour Version - Short of Breath at Rest
	CCQ01-Short of Breath Physical Activity		C119123	CCQ01-Short of Breath Physical Activity	Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities?	CCQ 24 Hour Version - Short of Breath Doing Physical Activity
Back to top
CL.C101811.CDR TESTCD	QS-Clinical Dementia Rating Test Code (CDR TESTCD)	text Extensible: No	C101811	QS-Clinical Dementia Rating Test Code	Clinical Dementia Rating test code.	CDISC Questionnaire CDR Test Code Terminology
	CDR0101		C102050	CDR01-Memory	Clinical Dementia Rating - Memory.	CDR - Memory
	CDR0102		C102051	CDR01-Orientation	Clinical Dementia Rating - Orientation.	CDR - Orientation
	CDR0103		C102052	CDR01-Judgment and Problem Solving	Clinical Dementia Rating - Judgment and problem solving.	CDR - Judgment and Problem Solving
	CDR0104		C102053	CDR01-Community Affairs	Clinical Dementia Rating - Community affairs.	CDR - Community Affairs
	CDR0105		C102054	CDR01-Home and Hobbies	Clinical Dementia Rating - Home and hobbies.	CDR - Home and Hobbies
	CDR0106		C102055	CDR01-Personal Care	Clinical Dementia Rating - Personal care.	CDR - Personal Care
	CDR0107		C113880	CDR01-Sum of Boxes	Clinical Dementia Rating - Sum of Boxes.	CDR - Sum of Boxes
	CDR0108		C113881	CDR01-Global CDR	Clinical Dementia Rating - Global CDR.	CDR - Global CDR
Back to top
CL.C101812.CDR TEST	QS-Clinical Dementia Rating Test Name (CDR TEST)	text Extensible: No	C101812	QS-Clinical Dementia Rating Test Name	Clinical Dementia Rating test name.	CDISC Questionnaire CDR Test Name Terminology
	CDR01-Community Affairs		C102053	CDR01-Community Affairs	Clinical Dementia Rating - Community affairs.	CDR - Community Affairs
	CDR01-Global CDR		C113881	CDR01-Global CDR	Clinical Dementia Rating - Global CDR.	CDR - Global CDR
	CDR01-Home and Hobbies		C102054	CDR01-Home and Hobbies	Clinical Dementia Rating - Home and hobbies.	CDR - Home and Hobbies
	CDR01-Judgment and Problem Solving		C102052	CDR01-Judgment and Problem Solving	Clinical Dementia Rating - Judgment and problem solving.	CDR - Judgment and Problem Solving
	CDR01-Memory		C102050	CDR01-Memory	Clinical Dementia Rating - Memory.	CDR - Memory
	CDR01-Orientation		C102051	CDR01-Orientation	Clinical Dementia Rating - Orientation.	CDR - Orientation
	CDR01-Personal Care		C102055	CDR01-Personal Care	Clinical Dementia Rating - Personal care.	CDR - Personal Care
	CDR01-Sum of Boxes		C113880	CDR01-Sum of Boxes	Clinical Dementia Rating - Sum of Boxes.	CDR - Sum of Boxes
Back to top
CL.C100150.CGI TESTCD	QS-Clinical Global Impression Test Code (CGI TESTCD)	text Extensible: No	C100150	QS-Clinical Global Impression Test Code	Clinical Global Impression test code.	CDISC Questionnaire CGI Test Code Terminology
	CGI0101		C100955	CGI01-Severity of Illness	Clinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?	CGI - Severity of Illness
	CGI0102		C100956	CGI01-Global Improvement	Clinical Global Impression - Rate total improvement whether or not, in your judgment, it is due entirely to drug treatment. Compared to his condition at admission to the project, how much has he changed?	CGI - Global Improvement
	CGI0103		C100957	CGI01-Efficacy Index	Clinical Global Impression - Rate this item on the basis of drug effect only. Select the terms which best describe the degrees of therapeutic effect and side effects and record the number in the box where the two items intersect.	CGI - Efficacy Index
Back to top
CL.C100149.CGI TEST	QS-Clinical Global Impression Test Name (CGI TEST)	text Extensible: No	C100149	QS-Clinical Global Impression Test Name	Clinical Global Impression test name.	CDISC Questionnaire CGI Test Name Terminology
	CGI01-Efficacy Index		C100957	CGI01-Efficacy Index	Clinical Global Impression - Rate this item on the basis of drug effect only. Select the terms which best describe the degrees of therapeutic effect and side effects and record the number in the box where the two items intersect.	CGI - Efficacy Index
	CGI01-Global Improvement		C100956	CGI01-Global Improvement	Clinical Global Impression - Rate total improvement whether or not, in your judgment, it is due entirely to drug treatment. Compared to his condition at admission to the project, how much has he changed?	CGI - Global Improvement
	CGI01-Severity of Illness		C100955	CGI01-Severity of Illness	Clinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?	CGI - Severity of Illness
Back to top
CL.C101813.COWS TESTCD	QS-Clinical Opiate Withdrawal Scale Test Code (COWS TESTCD)	text Extensible: No	C101813	QS-Clinical Opiate Withdrawal Scale Test Code	Clinical Opiate Withdrawal Scale test code.	CDISC Questionnaire COWS Test Code Terminology
	COWS101		C102056	COWS1-Resting Pulse Rate	Clinical Opiate Withdrawal Scale - Resting pulse rate.	COWS - Resting Pulse Rate
	COWS101A		C112467	COWS1-Resting Pulse Rate Beats/minute	Clinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.	COWS - Resting Pulse Rate: Beats/Minute
	COWS102		C102057	COWS1-Sweating	Clinical Opiate Withdrawal Scale - Sweating.	COWS - Sweating
	COWS103		C102058	COWS1-Restlessness	Clinical Opiate Withdrawal Scale - Restlessness.	COWS - Restlessness
	COWS104		C102059	COWS1-Pupil Size	Clinical Opiate Withdrawal Scale - Pupil size.	COWS - Pupil Size
	COWS105		C102060	COWS1-Bone or Joint Aches	Clinical Opiate Withdrawal Scale - Bone or joint aches.	COWS - Bone or Joint Aches
	COWS106		C102061	COWS1-Runny Nose or Tearing	Clinical Opiate Withdrawal Scale - Runny nose or tearing.	COWS - Runny Nose or Tearing
	COWS107		C102062	COWS1-GI Upset	Clinical Opiate Withdrawal Scale - GI upset.	COWS - GI Upset
	COWS108		C102063	COWS1-Tremor	Clinical Opiate Withdrawal Scale - Tremor.	COWS - Tremor
	COWS109		C102064	COWS1-Yawning	Clinical Opiate Withdrawal Scale - Yawning.	COWS - Yawning
	COWS110		C102065	COWS1-Anxiety or Irritability	Clinical Opiate Withdrawal Scale - Anxiety or irritability.	COWS - Anxiety or Irritability
	COWS111		C102066	COWS1-Gooseflesh Skin	Clinical Opiate Withdrawal Scale - Gooseflesh skin.	COWS - Gooseflesh Skin
	COWS112		C112468	COWS1-Total Score	Clinical Opiate Withdrawal Scale - Total score.	COWS - Total Score
Back to top
CL.C101814.COWS TEST	QS-Clinical Opiate Withdrawal Scale Test Name (COWS TEST)	text Extensible: No	C101814	QS-Clinical Opiate Withdrawal Scale Test Name	Clinical Opiate Withdrawal Scale test name.	CDISC Questionnaire COWS Test Name Terminology
	COWS1-Anxiety or Irritability		C102065	COWS1-Anxiety or Irritability	Clinical Opiate Withdrawal Scale - Anxiety or irritability.	COWS - Anxiety or Irritability
	COWS1-Bone or Joint Aches		C102060	COWS1-Bone or Joint Aches	Clinical Opiate Withdrawal Scale - Bone or joint aches.	COWS - Bone or Joint Aches
	COWS1-GI Upset		C102062	COWS1-GI Upset	Clinical Opiate Withdrawal Scale - GI upset.	COWS - GI Upset
	COWS1-Gooseflesh Skin		C102066	COWS1-Gooseflesh Skin	Clinical Opiate Withdrawal Scale - Gooseflesh skin.	COWS - Gooseflesh Skin
	COWS1-Pupil Size		C102059	COWS1-Pupil Size	Clinical Opiate Withdrawal Scale - Pupil size.	COWS - Pupil Size
	COWS1-Resting Pulse Rate		C102056	COWS1-Resting Pulse Rate	Clinical Opiate Withdrawal Scale - Resting pulse rate.	COWS - Resting Pulse Rate
	COWS1-Resting Pulse Rate Beats/Minute		C112467	COWS1-Resting Pulse Rate Beats/minute	Clinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.	COWS - Resting Pulse Rate: Beats/Minute
	COWS1-Restlessness		C102058	COWS1-Restlessness	Clinical Opiate Withdrawal Scale - Restlessness.	COWS - Restlessness
	COWS1-Runny Nose or Tearing		C102061	COWS1-Runny Nose or Tearing	Clinical Opiate Withdrawal Scale - Runny nose or tearing.	COWS - Runny Nose or Tearing
	COWS1-Sweating		C102057	COWS1-Sweating	Clinical Opiate Withdrawal Scale - Sweating.	COWS - Sweating
	COWS1-Total Score		C112468	COWS1-Total Score	Clinical Opiate Withdrawal Scale - Total score.	COWS - Total Score
	COWS1-Tremor		C102063	COWS1-Tremor	Clinical Opiate Withdrawal Scale - Tremor.	COWS - Tremor
	COWS1-Yawning		C102064	COWS1-Yawning	Clinical Opiate Withdrawal Scale - Yawning.	COWS - Yawning
Back to top
CL.C106659.C-SSRS Already Enrolled Subjects TESTCD	QS-Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code (C-SSRS Already Enrolled Subjects TESTCD)	text Extensible: No	C106659	QS-Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Already Enrolled Subject test code.	CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Code Terminology
	CSS0501A		C107027	CSS05-Wish to be Dead-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
	CSS0501B		C107028	CSS05-Wish to be Dead-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).	C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
	CSS0501C		C107029	CSS05-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.	C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
	CSS0502A		C107030	CSS05-Non-Spec Suicid Thought-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
	CSS0502B		C107031	CSS05-Non-Spec Suicid Thought-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).	C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
	CSS0502C		C107032	CSS05-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.	C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
	CSS0503A		C107033	CSS05-Idea, No Intent, No Plan-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
	CSS0503B		C107034	CSS05-Idea, No Intent, No Plan-Since	Columbia-Suicide Suicide Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
	CSS0503C		C107035	CSS05-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
	CSS0504A		C107036	CSS05-Idea, Intent, No Plan-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
	CSS0504B		C107037	CSS05-Idea, Intent, No Plan-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
	CSS0504C		C107038	CSS05-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
	CSS0505A		C107039	CSS05-Idea, Plan, Intent-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
	CSS0505B		C107040	CSS05-Idea, Plan, Intent-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
	CSS0505C		C107041	CSS05-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.	C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
	CSS0506A		C107042	CSS05-Most Severe Idea-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
	CSS0506B		C107043	CSS05-Most Severe Idea, Desc-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
	CSS0506C		C107044	CSS05-Most Severe Idea-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).	C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
	CSS0506D		C107045	CSS05-Most Severe Idea, Desc-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).	C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
	CSS0507A		C107046	CSS05-Most Severe Idea, Frequency-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
	CSS0507B		C107047	CSS05-Most Severe Idea, Frequency-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).	C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
	CSS0508A		C107048	CSS05-Most Severe Idea, Duration-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
	CSS0508B		C107049	CSS05-Most Severe Idea, Duration-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start).	C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
	CSS0509A		C107050	CSS05-Most Severe Idea, Control-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
	CSS0509B		C107051	CSS05-Most Severe Idea, Control-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).	C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
	CSS0510A		C107052	CSS05-Most Severe Idea, Deterrents-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
	CSS0510B		C107053	CSS05-Most Severe Idea, Deterrents-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).	C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
	CSS0511A		C107054	CSS05-Most Severe Idea, Reasons-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
	CSS0511B		C107055	CSS05-Most Severe Idea, Reasons-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).	C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
	CSS0512A		C107056	CSS05-Actual Attempt-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
	CSS0512B		C107057	CSS05-Actual Attempt-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).	C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
	CSS0513A		C107058	CSS05-Number of Actual Attempts-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
	CSS0513B		C107059	CSS05-Number of Actual Attempts-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).	C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
	CSS0513C		C107060	CSS05-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.	C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
	CSS0514A		C107061	CSS05-Non-suicid Self-injur Behav-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
	CSS0514B		C107062	CSS05-Non-suicid Self-injur Behav-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).	C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
	CSS0515A		C107063	CSS05-Interrupted Attempt-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
	CSS0515B		C107064	CSS05-Interrupted Attempt-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).	C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
	CSS0516A		C107065	CSS05-Num of Interrupted Attempts-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
	CSS0516B		C107066	CSS05-Num of Interrupted Attempts-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start).	C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
	CSS0516C		C107067	CSS05-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.	C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
	CSS0517A		C107068	CSS05-Aborted Attempt-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
	CSS0517B		C107069	CSS05-Aborted Attempt-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).	C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
	CSS0518A		C107070	CSS05-Number of Aborted Attempts-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
	CSS0518B		C107071	CSS05-Number of Aborted Attempts-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start).	C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
	CSS0518C		C107072	CSS05-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.	C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
	CSS0519A		C107073	CSS05-Preparatory Acts/Behavior-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
	CSS0519B		C107074	CSS05-Preparatory Acts/Behavior-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start).	C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
	CSS0519C		C107075	CSS05-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior.	C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0520A		C107076	CSS05-Suicidal Behavior-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
	CSS0520B		C107077	CSS05-Suicidal Behavior-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).	C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
	CSS0521A		C107078	CSS05-Completed Suicide-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
	CSS0521B		C107079	CSS05-Completed Suicide-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).	C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
	CSS0522A		C107080	CSS05-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.	C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
	CSS0522B		C107081	CSS05-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.	C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS0522C		C107082	CSS05-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.	C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
	CSS0523A		C107083	CSS05-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.	C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
	CSS0523B		C107084	CSS05-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.	C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0523C		C107085	CSS05-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.	C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
	CSS0524A		C107086	CSS05-First Attempt Date	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.	C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
	CSS0524B		C107087	CSS05-First Attempt Damage	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.	C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
	CSS0524C		C107088	CSS05-First Attempt Potential	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.	C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
Back to top
CL.C106658.C-SSRS Already Enrolled Subjects TEST	QS-Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name (C-SSRS Already Enrolled Subjects TEST)	text Extensible: No	C106658	QS-Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Already Enrolled Subject test name.	CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Name Terminology
	CSS05-Aborted Attempt, Describe		C107072	CSS05-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.	C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
	CSS05-Aborted Attempt-Prior		C107068	CSS05-Aborted Attempt-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
	CSS05-Aborted Attempt-Since		C107069	CSS05-Aborted Attempt-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).	C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
	CSS05-Actual Attempt, Describe		C107060	CSS05-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.	C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
	CSS05-Actual Attempt-Prior		C107056	CSS05-Actual Attempt-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
	CSS05-Actual Attempt-Since		C107057	CSS05-Actual Attempt-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).	C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
	CSS05-Completed Suicide-Prior		C107078	CSS05-Completed Suicide-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
	CSS05-Completed Suicide-Since		C107079	CSS05-Completed Suicide-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).	C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
	CSS05-First Attempt Damage		C107087	CSS05-First Attempt Damage	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.	C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
	CSS05-First Attempt Date		C107086	CSS05-First Attempt Date	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.	C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
	CSS05-First Attempt Potential		C107088	CSS05-First Attempt Potential	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.	C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
	CSS05-Idea, Intent, No Plan, Describe		C107038	CSS05-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
	CSS05-Idea, Intent, No Plan-Prior		C107036	CSS05-Idea, Intent, No Plan-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
	CSS05-Idea, Intent, No Plan-Since		C107037	CSS05-Idea, Intent, No Plan-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
	CSS05-Idea, No Intent, No Plan, Describe		C107035	CSS05-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
	CSS05-Idea, No Intent, No Plan-Prior		C107033	CSS05-Idea, No Intent, No Plan-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
	CSS05-Idea, No Intent, No Plan-Since		C107034	CSS05-Idea, No Intent, No Plan-Since	Columbia-Suicide Suicide Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
	CSS05-Idea, Plan, Intent, Describe		C107041	CSS05-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.	C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
	CSS05-Idea, Plan, Intent-Prior		C107039	CSS05-Idea, Plan, Intent-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
	CSS05-Idea, Plan, Intent-Since		C107040	CSS05-Idea, Plan, Intent-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).	C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
	CSS05-Interrupted Attempt, Describe		C107067	CSS05-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.	C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
	CSS05-Interrupted Attempt-Prior		C107063	CSS05-Interrupted Attempt-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
	CSS05-Interrupted Attempt-Since		C107064	CSS05-Interrupted Attempt-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).	C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
	CSS05-Most Lethal Attempt Damage		C107084	CSS05-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.	C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS05-Most Lethal Attempt Date		C107083	CSS05-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.	C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
	CSS05-Most Lethal Attempt Potential		C107085	CSS05-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.	C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
	CSS05-Most Recent Attempt Damage		C107081	CSS05-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.	C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS05-Most Recent Attempt Date		C107080	CSS05-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.	C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
	CSS05-Most Recent Attempt Potential		C107082	CSS05-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.	C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
	CSS05-Most Severe Idea, Control-Prior		C107050	CSS05-Most Severe Idea, Control-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea, Control-Since		C107051	CSS05-Most Severe Idea, Control-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).	C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
	CSS05-Most Severe Idea, Desc-Prior		C107043	CSS05-Most Severe Idea, Desc-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea, Desc-Since		C107045	CSS05-Most Severe Idea, Desc-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).	C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
	CSS05-Most Severe Idea, Deterrents-Prior		C107052	CSS05-Most Severe Idea, Deterrents-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea, Deterrents-Since		C107053	CSS05-Most Severe Idea, Deterrents-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).	C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
	CSS05-Most Severe Idea, Duration-Prior		C107048	CSS05-Most Severe Idea, Duration-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea, Duration-Since		C107049	CSS05-Most Severe Idea, Duration-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start).	C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
	CSS05-Most Severe Idea, Frequency-Prior		C107046	CSS05-Most Severe Idea, Frequency-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea, Frequency-Since		C107047	CSS05-Most Severe Idea, Frequency-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).	C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
	CSS05-Most Severe Idea, Reasons-Prior		C107054	CSS05-Most Severe Idea, Reasons-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea, Reasons-Since		C107055	CSS05-Most Severe Idea, Reasons-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).	C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
	CSS05-Most Severe Idea-Prior		C107042	CSS05-Most Severe Idea-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
	CSS05-Most Severe Idea-Since		C107044	CSS05-Most Severe Idea-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).	C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
	CSS05-Non-Spec Suicid Thought, Describe		C107032	CSS05-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.	C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
	CSS05-Non-Spec Suicid Thought-Prior		C107030	CSS05-Non-Spec Suicid Thought-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
	CSS05-Non-Spec Suicid Thought-Since		C107031	CSS05-Non-Spec Suicid Thought-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).	C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
	CSS05-Non-suicid Self-injur Behav-Prior		C107061	CSS05-Non-suicid Self-injur Behav-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
	CSS05-Non-suicid Self-injur Behav-Since		C107062	CSS05-Non-suicid Self-injur Behav-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).	C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
	CSS05-Num of Interrupted Attempts-Prior		C107065	CSS05-Num of Interrupted Attempts-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
	CSS05-Num of Interrupted Attempts-Since		C107066	CSS05-Num of Interrupted Attempts-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start).	C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
	CSS05-Number of Aborted Attempts-Prior		C107070	CSS05-Number of Aborted Attempts-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
	CSS05-Number of Aborted Attempts-Since		C107071	CSS05-Number of Aborted Attempts-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start).	C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
	CSS05-Number of Actual Attempts-Prior		C107058	CSS05-Number of Actual Attempts-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
	CSS05-Number of Actual Attempts-Since		C107059	CSS05-Number of Actual Attempts-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).	C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
	CSS05-Preparatory Acts/Behavior, Descr		C107075	CSS05-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior.	C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS05-Preparatory Acts/Behavior-Prior		C107073	CSS05-Preparatory Acts/Behavior-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
	CSS05-Preparatory Acts/Behavior-Since		C107074	CSS05-Preparatory Acts/Behavior-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start).	C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
	CSS05-Suicidal Behavior-Prior		C107076	CSS05-Suicidal Behavior-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
	CSS05-Suicidal Behavior-Since		C107077	CSS05-Suicidal Behavior-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).	C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
	CSS05-Wish to be Dead, Describe		C107029	CSS05-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.	C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
	CSS05-Wish to be Dead-Prior		C107027	CSS05-Wish to be Dead-Prior	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).	C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
	CSS05-Wish to be Dead-Since		C107028	CSS05-Wish to be Dead-Since	Columbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).	C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
Back to top
CL.C100168.C-SSRS Baseline TESTCD	QS-Columbia-Suicide Severity Rating Scale Baseline Test Code (C-SSRS Baseline TESTCD)	text Extensible: No	C100168	QS-Columbia-Suicide Severity Rating Scale Baseline Test Code	Columbia-Suicide Severity Rating Scale Baseline test code.	CDISC Questionnaire C-SSRS Baseline Test Code Terminology
	CSS0101		C100976	CSS01-Wish to be Dead	Columbia-Suicide Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?	C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
	CSS0101A		C100977	CSS01-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of wishing to be dead.	C-SSRS Baseline - Description of Wish to be Dead
	CSS0102		C100978	CSS01-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?	C-SSRS Baseline - Non-Specific Suicidal Thought
	CSS0102A		C100979	CSS01-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.	C-SSRS Baseline - Description of Non-Specific Suicide Thought
	CSS0103		C100980	CSS01-Suicidal Ideation-No Intent	Columbia-Suicide Severity Rating Scale Baseline - Have you been thinking about how you might do this?	C-SSRS Baseline - Suicidal Ideation-No Intent
	CSS0103A		C100981	CSS01-Suicidal Ideation-No Intent, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Baseline - Description of Suicidal Ideation-No Intent
	CSS0104		C101014	CSS01-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?	C-SSRS Baseline - Ideation With Intent, No Plan
	CSS0104A		C101015	CSS01-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Baseline - Description of Ideation With Intent, No Plan
	CSS0105		C100982	CSS01-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?	C-SSRS Baseline - Ideation With Plan/Intent
	CSS0105A		C100983	CSS01-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.	C-SSRS Baseline - Description of Ideation With Plan and Intent
	CSS0106		C100984	CSS01-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Baseline - Most severe ideation.	C-SSRS Baseline - Most Severe Ideation
	CSS0106A		C100985	CSS01-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Baseline - Description of most severe ideation.	C-SSRS Baseline - Describe Most Severe Ideation
	CSS0107		C100986	CSS01-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Baseline - How many times have you had these thoughts?	C-SSRS Baseline - Frequency of Most Severe Ideation
	CSS0108		C100987	CSS01-Most Severe Ideation, Duration	Columbia-Suicide Severity Rating Scale Baseline - When you have the thoughts, how long do they last?	C-SSRS Baseline - Duration of Most Severe Ideation
	CSS0109		C100988	CSS01-Most Severe Ideation, Control	Columbia-Suicide Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?	C-SSRS Baseline - Control over Most Severe Ideation
	CSS0110		C100989	CSS01-Most Severe Ideation, Deterrents	Columbia-Suicide Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?	C-SSRS Baseline - Deterrents to Most Severe Ideation
	CSS0111		C100990	CSS01-Most Severe Ideation, Reasons	Columbia-Suicide Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?	C-SSRS Baseline - Reasons for Most Severe Ideation
	CSS0112		C100991	CSS01-Actual Attempt	Columbia-Suicide Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Baseline - Actual Suicide Attempt
	CSS0113		C100992	CSS01-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Baseline - Total number of actual attempts.	C-SSRS Baseline - Number of Actual Suicide Attempts
	CSS0113A		C100993	CSS01-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of actual attempt.	C-SSRS Baseline - Description of Actual Suicide Attempts
	CSS0114		C100994	CSS01-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.	C-SSRS Baseline - Non-suicidal Self-injurious Behavior
	CSS0115		C100995	CSS01-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?	C-SSRS Baseline - Interrupted Suicide Attempt
	CSS0116		C100996	CSS01-Number of Interrupted Attempts	Columbia-Suicide Severity Rating Scale Baseline - Total number of interrupted attempts.	C-SSRS Baseline - Number of Interrupted Suicide Attempts
	CSS0116A		C100997	CSS01-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of interrupted attempt.	C-SSRS Baseline - Description of Interrupted Suicide Attempt
	CSS0117		C100998	CSS01-Aborted Attempt	Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Baseline - Aborted Suicide Attempt
	CSS0118		C100999	CSS01-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Baseline - Total number of aborted attempts.	C-SSRS Baseline - Number of Aborted Suicide Attempts
	CSS0118A		C101000	CSS01-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of aborted attempt.	C-SSRS Baseline - Description of Aborted Suicide Attempt
	CSS0119		C101001	CSS01-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Baseline - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0119A		C101002	CSS01-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of preparatory acts or behavior.	C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0120		C101003	CSS01-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?	C-SSRS Baseline - Suicidal Behavior
	CSS0121A		C101004	CSS01-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt date.	C-SSRS Baseline - Most Recent Suicide Attempt Date
	CSS0121B		C101005	CSS01-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.	C-SSRS Baseline - Most Recent Suicide Attempt Damage
	CSS0121C		C101006	CSS01-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt potential lethality.	C-SSRS Baseline - Most Recent Suicide Attempt Potential
	CSS0122A		C101007	CSS01-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt date.	C-SSRS Baseline - Most Lethal Suicide Attempt Date
	CSS0122B		C101008	CSS01-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.	C-SSRS Baseline - Most Lethal Suicide Attempt Damage
	CSS0122C		C101009	CSS01-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt potential lethality.	C-SSRS Baseline - Most Lethal Suicide Attempt Potential
	CSS0123A		C101010	CSS01-First Attempt Date	Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt date.	C-SSRS Baseline - First Suicide Attempt Date
	CSS0123B		C101011	CSS01-First Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.	C-SSRS Baseline - First Suicide Attempt Damage
	CSS0123C		C101012	CSS01-First Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt potential lethality.	C-SSRS Baseline - First Suicide Attempt Potential
Back to top
CL.C100167.C-SSRS Baseline TEST	QS-Columbia-Suicide Severity Rating Scale Baseline Test Name (C-SSRS Baseline TEST)	text Extensible: No	C100167	QS-Columbia-Suicide Severity Rating Scale Baseline Test Name	Columbia-Suicide Severity Rating Scale Baseline test name.	CDISC Questionnaire C-SSRS Baseline Test Name Terminology
	CSS01-Aborted Attempt		C100998	CSS01-Aborted Attempt	Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Baseline - Aborted Suicide Attempt
	CSS01-Aborted Attempt, Describe		C101000	CSS01-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of aborted attempt.	C-SSRS Baseline - Description of Aborted Suicide Attempt
	CSS01-Actual Attempt		C100991	CSS01-Actual Attempt	Columbia-Suicide Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Baseline - Actual Suicide Attempt
	CSS01-Actual Attempt, Describe		C100993	CSS01-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of actual attempt.	C-SSRS Baseline - Description of Actual Suicide Attempts
	CSS01-First Attempt Damage		C101011	CSS01-First Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.	C-SSRS Baseline - First Suicide Attempt Damage
	CSS01-First Attempt Date		C101010	CSS01-First Attempt Date	Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt date.	C-SSRS Baseline - First Suicide Attempt Date
	CSS01-First Attempt Potential		C101012	CSS01-First Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline - Initial/first attempt potential lethality.	C-SSRS Baseline - First Suicide Attempt Potential
	CSS01-Ideation With Intent No Plan Descr		C101015	CSS01-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Baseline - Description of Ideation With Intent, No Plan
	CSS01-Ideation With Intent, No Plan		C101014	CSS01-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?	C-SSRS Baseline - Ideation With Intent, No Plan
	CSS01-Ideation With Plan/Intent		C100982	CSS01-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?	C-SSRS Baseline - Ideation With Plan/Intent
	CSS01-Ideation With Plan/Intent, Descr		C100983	CSS01-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.	C-SSRS Baseline - Description of Ideation With Plan and Intent
	CSS01-Interrupted Attempt		C100995	CSS01-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?	C-SSRS Baseline - Interrupted Suicide Attempt
	CSS01-Interrupted Attempt, Describe		C100997	CSS01-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of interrupted attempt.	C-SSRS Baseline - Description of Interrupted Suicide Attempt
	CSS01-Most Lethal Attempt Damage		C101008	CSS01-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.	C-SSRS Baseline - Most Lethal Suicide Attempt Damage
	CSS01-Most Lethal Attempt Date		C101007	CSS01-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt date.	C-SSRS Baseline - Most Lethal Suicide Attempt Date
	CSS01-Most Lethal Attempt Potential		C101009	CSS01-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline - Most lethal attempt potential lethality.	C-SSRS Baseline - Most Lethal Suicide Attempt Potential
	CSS01-Most Recent Attempt Damage		C101005	CSS01-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.	C-SSRS Baseline - Most Recent Suicide Attempt Damage
	CSS01-Most Recent Attempt Date		C101004	CSS01-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt date.	C-SSRS Baseline - Most Recent Suicide Attempt Date
	CSS01-Most Recent Attempt Potential		C101006	CSS01-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline - Most recent attempt potential lethality.	C-SSRS Baseline - Most Recent Suicide Attempt Potential
	CSS01-Most Severe Ideation		C100984	CSS01-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Baseline - Most severe ideation.	C-SSRS Baseline - Most Severe Ideation
	CSS01-Most Severe Ideation, Control		C100988	CSS01-Most Severe Ideation, Control	Columbia-Suicide Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?	C-SSRS Baseline - Control over Most Severe Ideation
	CSS01-Most Severe Ideation, Description		C100985	CSS01-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Baseline - Description of most severe ideation.	C-SSRS Baseline - Describe Most Severe Ideation
	CSS01-Most Severe Ideation, Deterrents		C100989	CSS01-Most Severe Ideation, Deterrents	Columbia-Suicide Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?	C-SSRS Baseline - Deterrents to Most Severe Ideation
	CSS01-Most Severe Ideation, Duration		C100987	CSS01-Most Severe Ideation, Duration	Columbia-Suicide Severity Rating Scale Baseline - When you have the thoughts, how long do they last?	C-SSRS Baseline - Duration of Most Severe Ideation
	CSS01-Most Severe Ideation, Frequency		C100986	CSS01-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Baseline - How many times have you had these thoughts?	C-SSRS Baseline - Frequency of Most Severe Ideation
	CSS01-Most Severe Ideation, Reasons		C100990	CSS01-Most Severe Ideation, Reasons	Columbia-Suicide Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?	C-SSRS Baseline - Reasons for Most Severe Ideation
	CSS01-Non-Specific Suicid Thought, Descr		C100979	CSS01-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.	C-SSRS Baseline - Description of Non-Specific Suicide Thought
	CSS01-Non-Specific Suicidal Thought		C100978	CSS01-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?	C-SSRS Baseline - Non-Specific Suicidal Thought
	CSS01-Non-suicidal Self-injurious Behav		C100994	CSS01-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.	C-SSRS Baseline - Non-suicidal Self-injurious Behavior
	CSS01-Number of Aborted Attempts		C100999	CSS01-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Baseline - Total number of aborted attempts.	C-SSRS Baseline - Number of Aborted Suicide Attempts
	CSS01-Number of Actual Attempts		C100992	CSS01-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Baseline - Total number of actual attempts.	C-SSRS Baseline - Number of Actual Suicide Attempts
	CSS01-Number of Interrupted Attempts		C100996	CSS01-Number of Interrupted Attempts	Columbia-Suicide Severity Rating Scale Baseline - Total number of interrupted attempts.	C-SSRS Baseline - Number of Interrupted Suicide Attempts
	CSS01-Preparatory Acts/Behavior		C101001	CSS01-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Baseline - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS01-Preparatory Acts/Behavior, Descr		C101002	CSS01-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of preparatory acts or behavior.	C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS01-Suicidal Behavior		C101003	CSS01-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?	C-SSRS Baseline - Suicidal Behavior
	CSS01-Suicidal Ideation-No Intent		C100980	CSS01-Suicidal Ideation-No Intent	Columbia-Suicide Severity Rating Scale Baseline - Have you been thinking about how you might do this?	C-SSRS Baseline - Suicidal Ideation-No Intent
	CSS01-Suicidal Ideation-No Intent, Descr		C100981	CSS01-Suicidal Ideation-No Intent, Descr	Columbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Baseline - Description of Suicidal Ideation-No Intent
	CSS01-Wish to be Dead		C100976	CSS01-Wish to be Dead	Columbia-Suicide Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?	C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
	CSS01-Wish to be Dead, Describe		C100977	CSS01-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Baseline - Description of wishing to be dead.	C-SSRS Baseline - Description of Wish to be Dead
Back to top
CL.C105132.C-SSRS Baseline/Screening Version Phase 1 Study TESTCD	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code (C-SSRS Baseline/Screening Version Phase 1 Study TESTCD)	text Extensible: No	C105132	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 Questionnaire test code.	CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Code Terminology
	CSS0301A		C105210	CSS03-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
	CSS0301B		C105211	CSS03-Wish to be Dead-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
	CSS0301C		C105212	CSS03-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
	CSS0302A		C105213	CSS03-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS0302B		C105214	CSS03-Non-Spec Suicid Thought-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
	CSS0302C		C105215	CSS03-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS0303A		C105216	CSS03-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS0303B		C105217	CSS03-Idea, No Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
	CSS0303C		C105218	CSS03-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS0304A		C105219	CSS03-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS0304B		C105220	CSS03-Idea, Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
	CSS0304C		C105221	CSS03-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS0305A		C105222	CSS03-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS0305B		C105223	CSS03-Idea, Plan, Intent-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
	CSS0305C		C105224	CSS03-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS0306A		C105225	CSS03-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
	CSS0306B		C105226	CSS03-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
	CSS0306C		C105227	CSS03-Most Severe Idea-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
	CSS0306D		C105228	CSS03-Most Severe Idea, Desc-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
	CSS0307A		C105229	CSS03-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
	CSS0307B		C105230	CSS03-Most Severe Idea, Frequency-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
	CSS0308A		C105231	CSS03-Most Severe Idea, Duration-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
	CSS0308B		C105232	CSS03-Most Severe Idea, Duration-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
	CSS0309A		C105233	CSS03-Most Severe Idea, Control-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
	CSS0309B		C105234	CSS03-Most Severe Idea, Control-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
	CSS0310A		C105235	CSS03-Most Severe Idea, Deterrents-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
	CSS0310B		C105236	CSS03-Most Severe Idea, Deterrents-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
	CSS0311A		C105237	CSS03-Most Severe Idea, Reasons-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
	CSS0311B		C105238	CSS03-Most Severe Idea, Reasons-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
	CSS0312		C105239	CSS03-Actual Attempt	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
	CSS0313		C105240	CSS03-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.	C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
	CSS0313A		C105241	CSS03-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
	CSS0314		C105242	CSS03-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.	C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
	CSS0315		C105243	CSS03-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?	C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
	CSS0316		C105244	CSS03-Number of Interrupted Attempts	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts.	C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
	CSS0316A		C105245	CSS03-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
	CSS0317		C105246	CSS03-Aborted Attempt	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
	CSS0318		C105247	CSS03-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts.	C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
	CSS0318A		C105248	CSS03-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
	CSS0319		C105249	CSS03-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0319A		C105250	CSS03-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0320		C105251	CSS03-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?	C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
	CSS0321A		C105252	CSS03-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
	CSS0321B		C105253	CSS03-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS0321C		C105254	CSS03-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
	CSS0322A		C105255	CSS03-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
	CSS0322B		C105256	CSS03-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0322C		C105257	CSS03-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
	CSS0323A		C105258	CSS03-First Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.	C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
	CSS0323B		C105259	CSS03-First Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
	CSS0323C		C105260	CSS03-First Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.	C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
Back to top
CL.C105131.C-SSRS Baseline/Screening Version Phase 1 Study TEST	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name (C-SSRS Baseline/Screening Version Phase 1 Study TEST)	text Extensible: No	C105131	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 test name.	CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Name Terminology
	CSS03-Aborted Attempt		C105246	CSS03-Aborted Attempt	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
	CSS03-Aborted Attempt, Describe		C105248	CSS03-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
	CSS03-Actual Attempt		C105239	CSS03-Actual Attempt	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
	CSS03-Actual Attempt, Describe		C105241	CSS03-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
	CSS03-First Attempt Damage		C105259	CSS03-First Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
	CSS03-First Attempt Date		C105258	CSS03-First Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.	C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
	CSS03-First Attempt Potential		C105260	CSS03-First Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.	C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
	CSS03-Idea, Intent, No Plan, Describe		C105221	CSS03-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS03-Idea, Intent, No Plan-Life		C105219	CSS03-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS03-Idea, Intent, No Plan-P6M		C105220	CSS03-Idea, Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
	CSS03-Idea, No Intent, No Plan, Describe		C105218	CSS03-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS03-Idea, No Intent, No Plan-Life		C105216	CSS03-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS03-Idea, No Intent, No Plan-P6M		C105217	CSS03-Idea, No Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
	CSS03-Idea, Plan, Intent, Describe		C105224	CSS03-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS03-Idea, Plan, Intent-Life		C105222	CSS03-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS03-Idea, Plan, Intent-P6M		C105223	CSS03-Idea, Plan, Intent-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
	CSS03-Interrupted Attempt		C105243	CSS03-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?	C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
	CSS03-Interrupted Attempt, Describe		C105245	CSS03-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
	CSS03-Most Lethal Attempt Damage		C105256	CSS03-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS03-Most Lethal Attempt Date		C105255	CSS03-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
	CSS03-Most Lethal Attempt Potential		C105257	CSS03-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
	CSS03-Most Recent Attempt Damage		C105253	CSS03-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS03-Most Recent Attempt Date		C105252	CSS03-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
	CSS03-Most Recent Attempt Potential		C105254	CSS03-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.	C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
	CSS03-Most Severe Idea, Control-Life		C105233	CSS03-Most Severe Idea, Control-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea, Control-P6M		C105234	CSS03-Most Severe Idea, Control-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
	CSS03-Most Severe Idea, Desc-Life		C105226	CSS03-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea, Desc-P6M		C105228	CSS03-Most Severe Idea, Desc-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
	CSS03-Most Severe Idea, Deterrents-Life		C105235	CSS03-Most Severe Idea, Deterrents-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea, Deterrents-P6M		C105236	CSS03-Most Severe Idea, Deterrents-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
	CSS03-Most Severe Idea, Duration-Life		C105231	CSS03-Most Severe Idea, Duration-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea, Duration-P6M		C105232	CSS03-Most Severe Idea, Duration-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
	CSS03-Most Severe Idea, Frequency-Life		C105229	CSS03-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea, Frequency-P6M		C105230	CSS03-Most Severe Idea, Frequency-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
	CSS03-Most Severe Idea, Reasons-Life		C105237	CSS03-Most Severe Idea, Reasons-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea, Reasons-P6M		C105238	CSS03-Most Severe Idea, Reasons-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
	CSS03-Most Severe Idea-Life		C105225	CSS03-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
	CSS03-Most Severe Idea-P6M		C105227	CSS03-Most Severe Idea-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
	CSS03-Non-Spec Suicid Thought, Describe		C105215	CSS03-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS03-Non-Spec Suicid Thought-Life		C105213	CSS03-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS03-Non-Spec Suicid Thought-P6M		C105214	CSS03-Non-Spec Suicid Thought-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
	CSS03-Non-suicidal Self-injurious Behav		C105242	CSS03-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.	C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
	CSS03-Number of Aborted Attempts		C105247	CSS03-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts.	C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
	CSS03-Number of Actual Attempts		C105240	CSS03-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.	C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
	CSS03-Number of Interrupted Attempts		C105244	CSS03-Number of Interrupted Attempts	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts.	C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
	CSS03-Preparatory Acts/Behavior		C105249	CSS03-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS03-Preparatory Acts/Behavior, Descr		C105250	CSS03-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS03-Suicidal Behavior		C105251	CSS03-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?	C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
	CSS03-Wish to be Dead, Describe		C105212	CSS03-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.	C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
	CSS03-Wish to be Dead-Life		C105210	CSS03-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).	C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
	CSS03-Wish to be Dead-P6M		C105211	CSS03-Wish to be Dead-P6M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).	C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
Back to top
CL.C106661.C-SSRS Baseline/Screening Version TESTCD	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code (C-SSRS Baseline/Screening Version TESTCD)	text Extensible: No	C106661	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Baseline/Screening Version test code.	CDISC Questionnaire C-SSRS Baseline/Screening Version Test Code Terminology
	CSS0401A		C106707	CSS04-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).	C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
	CSS0401B		C106708	CSS04-Wish to be Dead-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).	C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
	CSS0401C		C106709	CSS04-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.	C-SSRS Baseline/Screening Version - Description of Wish to be Dead
	CSS0402A		C106710	CSS04-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).	C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS0402B		C106711	CSS04-Non-Spec Suicid Thought-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).	C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
	CSS0402C		C106712	CSS04-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.	C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
	CSS0403A		C106713	CSS04-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS0403B		C106714	CSS04-Idea, No Intent, No Plan-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
	CSS0403C		C106715	CSS04-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0404A		C107017	CSS04-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS0404B		C107018	CSS04-Idea, Intent, No Plan-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
	CSS0404C		C107019	CSS04-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0405A		C106716	CSS04-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS0405B		C106717	CSS04-Idea, Plan, Intent-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
	CSS0405C		C106718	CSS04-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.	C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS0406A		C106719	CSS04-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
	CSS0406B		C106720	CSS04-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
	CSS0406C		C106721	CSS04-Most Severe Idea-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).	C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
	CSS0406D		C106722	CSS04-Most Severe Idea, Desc-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).	C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
	CSS0407A		C106723	CSS04-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).	C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
	CSS0407B		C106724	CSS04-Most Severe Idea, Frequency-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).	C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
	CSS0408A		C106725	CSS04-Most Severe Idea, Duration-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime).	C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
	CSS0408B		C106726	CSS04-Most Severe Idea, Duration-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months).	C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
	CSS0409A		C106727	CSS04-Most Severe Idea, Control-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).	C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
	CSS0409B		C106728	CSS04-Most Severe Idea, Control-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).	C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
	CSS0410A		C106729	CSS04-Most Severe Idea, Deterrents-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).	C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
	CSS0410B		C106730	CSS04-Most Severe Idea, Deterrents-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).	C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
	CSS0411A		C106731	CSS04-Most Severe Idea, Reasons-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).	C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
	CSS0411B		C106732	CSS04-Most Severe Idea, Reasons-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).	C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
	CSS0412A		C106733	CSS04-Actual Attempt-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).	C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
	CSS0412B		C106734	CSS04-Actual Attempt-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).	C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
	CSS0413A		C106735	CSS04-Number of Actual Attempts-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).	C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
	CSS0413B		C106736	CSS04-Number of Actual Attempts-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).	C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
	CSS0413C		C106737	CSS04-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of actual attempt.	C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
	CSS0414A		C106738	CSS04-Non-suicidal Self-injur Behav-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).	C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
	CSS0414B		C106739	CSS04-Non-suicidal Self-injur Behav-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).	C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
	CSS0415A		C106740	CSS04-Interrupted Attempt-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).	C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
	CSS0415B		C106741	CSS04-Interrupted Attempt-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).	C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
	CSS0416A		C106742	CSS04-Number of Interrupt Attempts-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime).	C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
	CSS0416B		C106743	CSS04-Number of Interrupt Attempts-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years).	C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
	CSS0416C		C106744	CSS04-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.	C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
	CSS0417A		C106745	CSS04-Aborted Attempt-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).	C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
	CSS0417B		C106746	CSS04-Aborted Attempt-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).	C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
	CSS0418A		C106747	CSS04-Number of Aborted Attempts-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime).	C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
	CSS0418B		C106748	CSS04-Number of Aborted Attempts-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years).	C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
	CSS0418C		C106749	CSS04-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.	C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
	CSS0419A		C106750	CSS04-Preparatory Acts/Behavior-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).	C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
	CSS0419B		C106751	CSS04-Preparatory Acts/Behavior-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years).	C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
	CSS0419C		C106752	CSS04-Preparatory Acts/Behav, Descr	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior.	C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0420A		C106753	CSS04-Suicidal Behavior-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).	C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
	CSS0420B		C106754	CSS04-Suicidal Behavior-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).	C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
	CSS0421A		C106755	CSS04-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt date.	C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
	CSS0421B		C106756	CSS04-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS0421C		C106757	CSS04-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.	C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
	CSS0422A		C106758	CSS04-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.	C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
	CSS0422B		C106759	CSS04-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0422C		C106760	CSS04-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.	C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
	CSS0423A		C106761	CSS04-First Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.	C-SSRS Baseline/Screening Version - First Suicide Attempt Date
	CSS0423B		C106762	CSS04-First Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
	CSS0423C		C106763	CSS04-First Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.	C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
Back to top
CL.C106660.C-SSRS Baseline/Screening Version TEST	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name (C-SSRS Baseline/Screening Version TEST)	text Extensible: No	C106660	QS-Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Baseline/Screening Version test name.	CDISC Questionnaire C-SSRS Baseline/Screening Version Test Name Terminology
	CSS04-Aborted Attempt, Describe		C106749	CSS04-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.	C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
	CSS04-Aborted Attempt-Life		C106745	CSS04-Aborted Attempt-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).	C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
	CSS04-Aborted Attempt-P_Y		C106746	CSS04-Aborted Attempt-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).	C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
	CSS04-Actual Attempt, Describe		C106737	CSS04-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of actual attempt.	C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
	CSS04-Actual Attempt-Life		C106733	CSS04-Actual Attempt-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).	C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
	CSS04-Actual Attempt-P_Y		C106734	CSS04-Actual Attempt-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).	C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
	CSS04-First Attempt Damage		C106762	CSS04-First Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
	CSS04-First Attempt Date		C106761	CSS04-First Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.	C-SSRS Baseline/Screening Version - First Suicide Attempt Date
	CSS04-First Attempt Potential		C106763	CSS04-First Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.	C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
	CSS04-Idea, Intent, No Plan, Describe		C107019	CSS04-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS04-Idea, Intent, No Plan-Life		C107017	CSS04-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS04-Idea, Intent, No Plan-P_M		C107018	CSS04-Idea, Intent, No Plan-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
	CSS04-Idea, No Intent, No Plan, Describe		C106715	CSS04-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS04-Idea, No Intent, No Plan-Life		C106713	CSS04-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS04-Idea, No Intent, No Plan-P_M		C106714	CSS04-Idea, No Intent, No Plan-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
	CSS04-Idea, Plan, Intent, Describe		C106718	CSS04-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.	C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS04-Idea, Plan, Intent-Life		C106716	CSS04-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS04-Idea, Plan, Intent-P_M		C106717	CSS04-Idea, Plan, Intent-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).	C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
	CSS04-Interrupted Attempt, Describe		C106744	CSS04-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.	C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
	CSS04-Interrupted Attempt-Life		C106740	CSS04-Interrupted Attempt-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).	C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
	CSS04-Interrupted Attempt-P_Y		C106741	CSS04-Interrupted Attempt-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).	C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
	CSS04-Most Lethal Attempt Damage		C106759	CSS04-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS04-Most Lethal Attempt Date		C106758	CSS04-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.	C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
	CSS04-Most Lethal Attempt Potential		C106760	CSS04-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.	C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
	CSS04-Most Recent Attempt Damage		C106756	CSS04-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.	C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS04-Most Recent Attempt Date		C106755	CSS04-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt date.	C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
	CSS04-Most Recent Attempt Potential		C106757	CSS04-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.	C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
	CSS04-Most Severe Idea, Control-Life		C106727	CSS04-Most Severe Idea, Control-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).	C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea, Control-P_M		C106728	CSS04-Most Severe Idea, Control-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).	C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
	CSS04-Most Severe Idea, Desc-Life		C106720	CSS04-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea, Desc-P_M		C106722	CSS04-Most Severe Idea, Desc-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).	C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
	CSS04-Most Severe Idea, Deterrents-Life		C106729	CSS04-Most Severe Idea, Deterrents-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).	C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea, Deterrents-P_M		C106730	CSS04-Most Severe Idea, Deterrents-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).	C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
	CSS04-Most Severe Idea, Duration-Life		C106725	CSS04-Most Severe Idea, Duration-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime).	C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea, Duration-P_M		C106726	CSS04-Most Severe Idea, Duration-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months).	C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
	CSS04-Most Severe Idea, Frequency-Life		C106723	CSS04-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).	C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea, Frequency-P_M		C106724	CSS04-Most Severe Idea, Frequency-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).	C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
	CSS04-Most Severe Idea, Reasons-Life		C106731	CSS04-Most Severe Idea, Reasons-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).	C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea, Reasons-P_M		C106732	CSS04-Most Severe Idea, Reasons-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).	C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
	CSS04-Most Severe Idea-Life		C106719	CSS04-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).	C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
	CSS04-Most Severe Idea-P_M		C106721	CSS04-Most Severe Idea-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).	C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
	CSS04-Non-Spec Suicid Thought, Describe		C106712	CSS04-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.	C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
	CSS04-Non-Spec Suicid Thought-Life		C106710	CSS04-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).	C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS04-Non-Spec Suicid Thought-P_M		C106711	CSS04-Non-Spec Suicid Thought-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).	C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
	CSS04-Non-suicidal Self-injur Behav-Life		C106738	CSS04-Non-suicidal Self-injur Behav-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).	C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
	CSS04-Non-suicidal Self-injur Behav-P_Y		C106739	CSS04-Non-suicidal Self-injur Behav-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).	C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
	CSS04-Number of Aborted Attempts-Life		C106747	CSS04-Number of Aborted Attempts-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime).	C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
	CSS04-Number of Aborted Attempts-P_Y		C106748	CSS04-Number of Aborted Attempts-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years).	C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
	CSS04-Number of Actual Attempts-Life		C106735	CSS04-Number of Actual Attempts-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).	C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
	CSS04-Number of Actual Attempts-P_Y		C106736	CSS04-Number of Actual Attempts-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).	C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
	CSS04-Number of Interrupt Attempts-Life		C106742	CSS04-Number of Interrupt Attempts-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime).	C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
	CSS04-Number of Interrupt Attempts-P_Y		C106743	CSS04-Number of Interrupt Attempts-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years).	C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
	CSS04-Preparatory Acts/Behav, Descr		C106752	CSS04-Preparatory Acts/Behav, Descr	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior.	C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS04-Preparatory Acts/Behavior-Life		C106750	CSS04-Preparatory Acts/Behavior-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).	C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
	CSS04-Preparatory Acts/Behavior-P_Y		C106751	CSS04-Preparatory Acts/Behavior-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years).	C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
	CSS04-Suicidal Behavior-Life		C106753	CSS04-Suicidal Behavior-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).	C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
	CSS04-Suicidal Behavior-P_Y		C106754	CSS04-Suicidal Behavior-P_Y	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).	C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
	CSS04-Wish to be Dead, Describe		C106709	CSS04-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.	C-SSRS Baseline/Screening Version - Description of Wish to be Dead
	CSS04-Wish to be Dead-Life		C106707	CSS04-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).	C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
	CSS04-Wish to be Dead-P_M		C106708	CSS04-Wish to be Dead-P_M	Columbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).	C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
Back to top
CL.C111336.C-SSRS Children's Baseline TESTCD	QS-Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code (C-SSRS Children's Baseline TESTCD)	text Extensible: No	C111336	QS-Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Children's Baseline test code.	CDISC Questionnaire C-SSRS Children's Baseline Test Code Terminology
	CSS0601		C111527	CSS06-Wish to be Dead	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?	C-SSRS Children's Baseline - Wish to be Dead
	CSS0601A		C111528	CSS06-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of wishing to be dead.	C-SSRS Children's Baseline - Description of Wish to be Dead
	CSS0602		C111529	CSS06-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?	C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
	CSS0602A		C111530	CSS06-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.	C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
	CSS0603		C111531	CSS06-Idea, No Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?	C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0603A		C111532	CSS06-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0604		C111533	CSS06-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.	C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0604A		C111534	CSS06-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0605		C111535	CSS06-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?	C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
	CSS0605A		C111536	CSS06-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.	C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS0606		C111537	CSS06-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Children's Baseline - Most severe ideation.	C-SSRS Children's Baseline - Most Severe Ideation
	CSS0606A		C111538	CSS06-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of most severe ideation.	C-SSRS Children's Baseline - Describe Most Severe Ideation
	CSS0607		C111539	CSS06-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Children's Baseline - How many times have you had these thoughts?	C-SSRS Children's Baseline - Frequency of Most Severe Ideation
	CSS0607A		C111540	CSS06-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Children's Baseline - Frequency, write response.	C-SSRS Children's Baseline - Frequency, Write Response
	CSS0608		C111541	CSS06-Actual Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?	C-SSRS Children's Baseline - Actual Suicide Attempt
	CSS0609		C111542	CSS06-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of actual attempts.	C-SSRS Children's Baseline - Number of Actual Suicide Attempts
	CSS0609A		C111543	CSS06-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of actual attempt.	C-SSRS Children's Baseline - Description of Actual Suicide Attempt
	CSS0610		C111544	CSS06-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
	CSS0611		C111545	CSS06-Self-injur Behav, Intent Unknown	Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?	C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
	CSS0612		C111546	CSS06-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?	C-SSRS Children's Baseline - Interrupted Suicide Attempt
	CSS0613		C111547	CSS06-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of interrupted attempts.	C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
	CSS0613A		C111548	CSS06-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of interrupted attempt.	C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
	CSS0614		C111549	CSS06-Aborted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?	C-SSRS Children's Baseline - Aborted Suicide Attempt
	CSS0615		C111550	CSS06-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of aborted attempts.	C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
	CSS0615A		C111551	CSS06-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of aborted attempt.	C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
	CSS0616		C111552	CSS06-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?	C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0616A		C111553	CSS06-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior.	C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0617		C111554	CSS06-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?	C-SSRS Children's Baseline - Suicidal Behavior
	CSS0618A		C111555	CSS06-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt date.	C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
	CSS0618B		C111556	CSS06-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.	C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS0618C		C111557	CSS06-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.	C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
	CSS0619A		C111558	CSS06-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt date.	C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
	CSS0619B		C111559	CSS06-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.	C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0619C		C111560	CSS06-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.	C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
	CSS0620A		C111561	CSS06-First Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt date.	C-SSRS Children's Baseline - First Suicide Attempt Date
	CSS0620B		C111562	CSS06-First Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.	C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
	CSS0620C		C111563	CSS06-First Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.	C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
Back to top
CL.C111335.C-SSRS Children's Baseline TEST	QS-Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name (C-SSRS Children's Baseline TEST)	text Extensible: No	C111335	QS-Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Children's Baseline test name.	CDISC Questionnaire C-SSRS Children's Baseline Test Name Terminology
	CSS06-Aborted Attempt		C111549	CSS06-Aborted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?	C-SSRS Children's Baseline - Aborted Suicide Attempt
	CSS06-Aborted Attempt, Describe		C111551	CSS06-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of aborted attempt.	C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
	CSS06-Actual Attempt		C111541	CSS06-Actual Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?	C-SSRS Children's Baseline - Actual Suicide Attempt
	CSS06-Actual Attempt, Describe		C111543	CSS06-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of actual attempt.	C-SSRS Children's Baseline - Description of Actual Suicide Attempt
	CSS06-First Attempt Damage		C111562	CSS06-First Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.	C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
	CSS06-First Attempt Date		C111561	CSS06-First Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt date.	C-SSRS Children's Baseline - First Suicide Attempt Date
	CSS06-First Attempt Potential		C111563	CSS06-First Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.	C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
	CSS06-Frequency, Write Response		C111540	CSS06-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Children's Baseline - Frequency, write response.	C-SSRS Children's Baseline - Frequency, Write Response
	CSS06-Idea, No Intent, No Plan		C111531	CSS06-Idea, No Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?	C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS06-Idea, No Intent, No Plan, Describe		C111532	CSS06-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS06-Ideation With Intent No Plan Descr		C111534	CSS06-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS06-Ideation With Intent, No Plan		C111533	CSS06-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.	C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS06-Ideation With Plan/Intent		C111535	CSS06-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?	C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
	CSS06-Ideation With Plan/Intent, Descr		C111536	CSS06-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.	C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS06-Interrupted Attempt		C111546	CSS06-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?	C-SSRS Children's Baseline - Interrupted Suicide Attempt
	CSS06-Interrupted Attempt, Describe		C111548	CSS06-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of interrupted attempt.	C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
	CSS06-Most Lethal Attempt Damage		C111559	CSS06-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.	C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS06-Most Lethal Attempt Date		C111558	CSS06-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt date.	C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
	CSS06-Most Lethal Attempt Potential		C111560	CSS06-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.	C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
	CSS06-Most Recent Attempt Damage		C111556	CSS06-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.	C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS06-Most Recent Attempt Date		C111555	CSS06-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt date.	C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
	CSS06-Most Recent Attempt Potential		C111557	CSS06-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.	C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
	CSS06-Most Severe Ideation		C111537	CSS06-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Children's Baseline - Most severe ideation.	C-SSRS Children's Baseline - Most Severe Ideation
	CSS06-Most Severe Ideation, Description		C111538	CSS06-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of most severe ideation.	C-SSRS Children's Baseline - Describe Most Severe Ideation
	CSS06-Most Severe Ideation, Frequency		C111539	CSS06-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Children's Baseline - How many times have you had these thoughts?	C-SSRS Children's Baseline - Frequency of Most Severe Ideation
	CSS06-Non-Specific Suicid Thought, Descr		C111530	CSS06-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.	C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
	CSS06-Non-Specific Suicidal Thought		C111529	CSS06-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?	C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
	CSS06-Non-suicidal Self-injurious Behav		C111544	CSS06-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
	CSS06-Number of Aborted Attempts		C111550	CSS06-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of aborted attempts.	C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
	CSS06-Number of Actual Attempts		C111542	CSS06-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of actual attempts.	C-SSRS Children's Baseline - Number of Actual Suicide Attempts
	CSS06-Number of Interrupt Attempts		C111547	CSS06-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline - Total number of interrupted attempts.	C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
	CSS06-Preparatory Acts/Behavior		C111552	CSS06-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?	C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS06-Preparatory Acts/Behavior, Descr		C111553	CSS06-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior.	C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS06-Self-injur Behav, Intent Unknown		C111545	CSS06-Self-injur Behav, Intent Unknown	Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?	C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
	CSS06-Suicidal Behavior		C111554	CSS06-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?	C-SSRS Children's Baseline - Suicidal Behavior
	CSS06-Wish to be Dead		C111527	CSS06-Wish to be Dead	Columbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?	C-SSRS Children's Baseline - Wish to be Dead
	CSS06-Wish to be Dead, Describe		C111528	CSS06-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline - Description of wishing to be dead.	C-SSRS Children's Baseline - Description of Wish to be Dead
Back to top
CL.C111338.C-SSRS Children's Baseline/Screening TESTCD	QS-Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code (C-SSRS Children's Baseline/Screening TESTCD)	text Extensible: No	C111338	QS-Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening test code.	CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Code Terminology
	CSS0701A		C111385	CSS07-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).	C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
	CSS0701B		C111386	CSS07-Wish to be Dead-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
	CSS0701C		C111387	CSS07-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.	C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
	CSS0702A		C111388	CSS07-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).	C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS0702B		C111389	CSS07-Non-Spec Suicid Thought-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
	CSS0702C		C111390	CSS07-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.	C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
	CSS0703A		C111391	CSS07-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS0703B		C111392	CSS07-Idea, No Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
	CSS0703C		C111393	CSS07-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0704A		C111394	CSS07-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS0704B		C111395	CSS07-Idea, Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
	CSS0704C		C111396	CSS07-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0705A		C111397	CSS07-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS0705B		C111398	CSS07-Idea, Plan, Intent-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
	CSS0705C		C111399	CSS07-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.	C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS0706A		C111400	CSS07-Most Severe Idea	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most severe ideation.	C-SSRS Children's Baseline/Screening - Most Severe Ideation
	CSS0706B		C111401	CSS07-Most Severe Idea, Desc	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.	C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
	CSS0707A		C111402	CSS07-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).	C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
	CSS0707B		C111403	CSS07-Most Severe Idea, Frequency-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
	CSS0707C		C111404	CSS07-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Frequency, write response.	C-SSRS Children's Baseline/Screening - Frequency, Write Response
	CSS0708		C111405	CSS07-Actual Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?	C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
	CSS0709		C111406	CSS07-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.	C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
	CSS0709A		C111407	CSS07-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.	C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
	CSS0710		C111408	CSS07-Non-suicidal Self-injur Behav	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
	CSS0711		C111409	CSS07-Self-injur Behav, Intent Unknown	Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?	C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
	CSS0712		C111410	CSS07-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?	C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
	CSS0713		C111411	CSS07-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts.	C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
	CSS0713A		C111412	CSS07-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.	C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
	CSS0714		C111413	CSS07-Aborted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?	C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
	CSS0715		C111414	CSS07-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts.	C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
	CSS0715A		C111415	CSS07-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.	C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
	CSS0716		C111416	CSS07-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?	C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0716A		C111417	CSS07-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior.	C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0717		C111418	CSS07-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?	C-SSRS Children's Baseline/Screening - Suicidal Behavior
	CSS0718A		C111419	CSS07-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.	C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
	CSS0718B		C111420	CSS07-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.	C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS0718C		C111421	CSS07-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.	C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
	CSS0719A		C111422	CSS07-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.	C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
	CSS0719B		C111423	CSS07-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.	C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0719C		C111424	CSS07-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.	C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
	CSS0720A		C111425	CSS07-First Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.	C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
	CSS0720B		C111426	CSS07-First Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.	C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
	CSS0720C		C111427	CSS07-First Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.	C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
Back to top
CL.C111337.C-SSRS Children's Baseline/Screening TEST	QS-Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name (C-SSRS Children's Baseline/Screening TEST)	text Extensible: No	C111337	QS-Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening test name.	CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Name Terminology
	CSS07-Aborted Attempt		C111413	CSS07-Aborted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?	C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
	CSS07-Aborted Attempt, Describe		C111415	CSS07-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.	C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
	CSS07-Actual Attempt		C111405	CSS07-Actual Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?	C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
	CSS07-Actual Attempt, Describe		C111407	CSS07-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.	C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
	CSS07-First Attempt Damage		C111426	CSS07-First Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.	C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
	CSS07-First Attempt Date		C111425	CSS07-First Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.	C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
	CSS07-First Attempt Potential		C111427	CSS07-First Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.	C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
	CSS07-Frequency, Write Response		C111404	CSS07-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Frequency, write response.	C-SSRS Children's Baseline/Screening - Frequency, Write Response
	CSS07-Idea, Intent, No Plan, Describe		C111396	CSS07-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS07-Idea, Intent, No Plan-Life		C111394	CSS07-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS07-Idea, Intent, No Plan-P6M		C111395	CSS07-Idea, Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
	CSS07-Idea, No Intent, No Plan, Describe		C111393	CSS07-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS07-Idea, No Intent, No Plan-Life		C111391	CSS07-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS07-Idea, No Intent, No Plan-P6M		C111392	CSS07-Idea, No Intent, No Plan-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
	CSS07-Idea, Plan, Intent, Describe		C111399	CSS07-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.	C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS07-Idea, Plan, Intent-Life		C111397	CSS07-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS07-Idea, Plan, Intent-P6M		C111398	CSS07-Idea, Plan, Intent-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
	CSS07-Interrupted Attempt		C111410	CSS07-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?	C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
	CSS07-Interrupted Attempt, Describe		C111412	CSS07-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.	C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
	CSS07-Most Lethal Attempt Damage		C111423	CSS07-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.	C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS07-Most Lethal Attempt Date		C111422	CSS07-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.	C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
	CSS07-Most Lethal Attempt Potential		C111424	CSS07-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.	C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
	CSS07-Most Recent Attempt Damage		C111420	CSS07-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.	C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS07-Most Recent Attempt Date		C111419	CSS07-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.	C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
	CSS07-Most Recent Attempt Potential		C111421	CSS07-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.	C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
	CSS07-Most Severe Idea		C111400	CSS07-Most Severe Idea	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most severe ideation.	C-SSRS Children's Baseline/Screening - Most Severe Ideation
	CSS07-Most Severe Idea, Desc		C111401	CSS07-Most Severe Idea, Desc	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.	C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
	CSS07-Most Severe Idea, Frequency-Life		C111402	CSS07-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).	C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
	CSS07-Most Severe Idea, Frequency-P6M		C111403	CSS07-Most Severe Idea, Frequency-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
	CSS07-Non-Spec Suicid Thought, Describe		C111390	CSS07-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.	C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
	CSS07-Non-Spec Suicid Thought-Life		C111388	CSS07-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).	C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS07-Non-Spec Suicid Thought-P6M		C111389	CSS07-Non-Spec Suicid Thought-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
	CSS07-Non-suicidal Self-injur Behav		C111408	CSS07-Non-suicidal Self-injur Behav	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
	CSS07-Number of Aborted Attempts		C111414	CSS07-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts.	C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
	CSS07-Number of Actual Attempts		C111406	CSS07-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.	C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
	CSS07-Number of Interrupt Attempts		C111411	CSS07-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts.	C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
	CSS07-Preparatory Acts/Behavior		C111416	CSS07-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?	C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS07-Preparatory Acts/Behavior, Descr		C111417	CSS07-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior.	C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS07-Self-injur Behav, Intent Unknown		C111409	CSS07-Self-injur Behav, Intent Unknown	Columbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?	C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
	CSS07-Suicidal Behavior		C111418	CSS07-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?	C-SSRS Children's Baseline/Screening - Suicidal Behavior
	CSS07-Wish to be Dead, Describe		C111387	CSS07-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.	C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
	CSS07-Wish to be Dead-Life		C111385	CSS07-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).	C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
	CSS07-Wish to be Dead-P6M		C111386	CSS07-Wish to be Dead-P6M	Columbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).	C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
Back to top
CL.C111340.C-SSRS Children's Since Last Visit TESTCD	QS-Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code (C-SSRS Children's Since Last Visit TESTCD)	text Extensible: No	C111340	QS-Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Children's Since Last Visit test code.	CDISC Questionnaire C-SSRS Children's Since Last Visit Test Code Terminology
	CSS0801		C111428	CSS08-Wish to be Dead	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?	C-SSRS Children's Since Last Visit - Wish to be Dead
	CSS0801A		C111429	CSS08-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.	C-SSRS Children's Since Last Visit - Description of Wish to be Dead
	CSS0802		C111430	CSS08-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?	C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
	CSS0802A		C111431	CSS08-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.	C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
	CSS0803		C111432	CSS08-Idea, No Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?	C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0803A		C111433	CSS08-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0804		C111434	CSS08-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.	C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0804A		C111435	CSS08-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0805		C111436	CSS08-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?	C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
	CSS0805A		C111437	CSS08-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.	C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS0806		C111438	CSS08-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most severe ideation.	C-SSRS Children's Since Last Visit - Most Severe Ideation
	CSS0806A		C111439	CSS08-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.	C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
	CSS0807		C111440	CSS08-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?	C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
	CSS0807A		C111441	CSS08-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Frequency, write response.	C-SSRS Children's Since Last Visit - Frequency, Write Response
	CSS0808		C111442	CSS08-Actual Attempt	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?	C-SSRS Children's Since Last Visit - Actual Suicide Attempt
	CSS0809		C111443	CSS08-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.	C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
	CSS0809A		C111444	CSS08-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of actual attempt.	C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
	CSS0810		C111445	CSS08-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
	CSS0811		C111446	CSS08-Self-injur Behav, Intent Unknown	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?	C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
	CSS0812		C111447	CSS08-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?	C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
	CSS0813		C111448	CSS08-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts.	C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
	CSS0813A		C111449	CSS08-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.	C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
	CSS0814		C111450	CSS08-Aborted/Self-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?	C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
	CSS0815		C111451	CSS08-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts.	C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
	CSS0815A		C111452	CSS08-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.	C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
	CSS0816		C111453	CSS08-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?	C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0816A		C111454	CSS08-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.	C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0817		C111455	CSS08-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?	C-SSRS Children's Since Last Visit - Suicidal Behavior
	CSS0818		C111456	CSS08-Suicide	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicide.	C-SSRS Children's Since Last Visit - Suicide
	CSS0819A		C111457	CSS08-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.	C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
	CSS0819B		C111458	CSS08-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.	C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0819C		C111459	CSS08-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.	C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
Back to top
CL.C111339.C-SSRS Children's Since Last Visit TEST	QS-Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name (C-SSRS Children's Since Last Visit TEST)	text Extensible: No	C111339	QS-Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Children's Since Last Visit test name.	CDISC Questionnaire C-SSRS Children's Since Last Visit Test Name Terminology
	CSS08-Aborted Attempt, Describe		C111452	CSS08-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.	C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
	CSS08-Aborted/Self-Interrupted Attempt		C111450	CSS08-Aborted/Self-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?	C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
	CSS08-Actual Attempt		C111442	CSS08-Actual Attempt	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?	C-SSRS Children's Since Last Visit - Actual Suicide Attempt
	CSS08-Actual Attempt, Describe		C111444	CSS08-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of actual attempt.	C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
	CSS08-Frequency, Write Response		C111441	CSS08-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Frequency, write response.	C-SSRS Children's Since Last Visit - Frequency, Write Response
	CSS08-Idea, No Intent, No Plan		C111432	CSS08-Idea, No Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?	C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS08-Idea, No Intent, No Plan, Describe		C111433	CSS08-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS08-Ideation With Intent No Plan Descr		C111435	CSS08-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS08-Ideation With Intent, No Plan		C111434	CSS08-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.	C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS08-Ideation With Plan/Intent		C111436	CSS08-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?	C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
	CSS08-Ideation With Plan/Intent, Descr		C111437	CSS08-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.	C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS08-Interrupted Attempt		C111447	CSS08-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?	C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
	CSS08-Interrupted Attempt, Describe		C111449	CSS08-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.	C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
	CSS08-Most Lethal Attempt Damage		C111458	CSS08-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.	C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS08-Most Lethal Attempt Date		C111457	CSS08-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.	C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
	CSS08-Most Lethal Attempt Potential		C111459	CSS08-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.	C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
	CSS08-Most Severe Ideation		C111438	CSS08-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Most severe ideation.	C-SSRS Children's Since Last Visit - Most Severe Ideation
	CSS08-Most Severe Ideation, Description		C111439	CSS08-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.	C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
	CSS08-Most Severe Ideation, Frequency		C111440	CSS08-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?	C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
	CSS08-Non-Specific Suicid Thought, Descr		C111431	CSS08-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.	C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
	CSS08-Non-Specific Suicidal Thought		C111430	CSS08-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?	C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
	CSS08-Non-suicidal Self-injurious Behav		C111445	CSS08-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
	CSS08-Number of Aborted Attempts		C111451	CSS08-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts.	C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
	CSS08-Number of Actual Attempts		C111443	CSS08-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.	C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
	CSS08-Number of Interrupt Attempts		C111448	CSS08-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts.	C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
	CSS08-Preparatory Acts/Behavior		C111453	CSS08-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?	C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS08-Preparatory Acts/Behavior, Descr		C111454	CSS08-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.	C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS08-Self-injur Behav, Intent Unknown		C111446	CSS08-Self-injur Behav, Intent Unknown	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?	C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
	CSS08-Suicidal Behavior		C111455	CSS08-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?	C-SSRS Children's Since Last Visit - Suicidal Behavior
	CSS08-Suicide		C111456	CSS08-Suicide	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicide.	C-SSRS Children's Since Last Visit - Suicide
	CSS08-Wish to be Dead		C111428	CSS08-Wish to be Dead	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?	C-SSRS Children's Since Last Visit - Wish to be Dead
	CSS08-Wish to be Dead, Describe		C111429	CSS08-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.	C-SSRS Children's Since Last Visit - Description of Wish to be Dead
Back to top
CL.C117989.C-SSRS Lifetime/Recent Version TESTCD	QS-Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code (C-SSRS Lifetime/Recent Version TESTCD)	text Extensible: No	C117989	QS-Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version test code.	CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Code Terminology
	CSS1101A		C118019	CSS11-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).	C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime)
	CSS1101B		C118020	CSS11-Wish to be Dead-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month)
	CSS1101C		C118021	CSS11-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead.	C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
	CSS1102A		C118022	CSS11-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime).	C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS1102B		C118023	CSS11-Non-Spec Suicid Thought-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months)
	CSS1102C		C118024	CSS11-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts.	C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts
	CSS1103A		C118025	CSS11-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS1103B		C118026	CSS11-Idea, No Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month)
	CSS1103C		C118027	CSS11-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS1104A		C118028	CSS11-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS1104B		C118029	CSS11-Idea, Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month)
	CSS1104C		C118030	CSS11-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS1105A		C118031	CSS11-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS1105B		C118032	CSS11-Idea, Plan, Intent-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month)
	CSS1105C		C118033	CSS11-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent.	C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS1106A		C118034	CSS11-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime).	C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
	CSS1106B		C118035	CSS11-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime).	C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
	CSS1106C		C118036	CSS11-Most Severe Idea-Recent-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month).	C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month)
	CSS1106D		C118037	CSS11-Most Severe Idea, Desc-Recent-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month).	C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month)
	CSS1107A		C118038	CSS11-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime).	C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime)
	CSS1107B		C118039	CSS11-Most Severe Idea, Frequency-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month)
	CSS1108A		C118040	CSS11-Most Severe Idea, Duration-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime).	C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime)
	CSS1108B		C118041	CSS11-Most Severe Idea, Duration-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month)
	CSS1109A		C118042	CSS11-Most Severe Idea, Control-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).	C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime)
	CSS1109B		C118043	CSS11-Most Severe Idea, Control-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month)
	CSS1110A		C118044	CSS11-Most Severe Idea, Deterrents-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).	C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime)
	CSS1110B		C118045	CSS11-Most Severe Idea, Deterrents-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month)
	CSS1111A		C118046	CSS11-Most Severe Idea, Reasons-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).	C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime)
	CSS1111B		C118047	CSS11-Most Severe Idea, Reasons-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month)
	CSS1112A		C118048	CSS11-Actual Attempt-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).	C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Lifetime)
	CSS1112B		C118049	CSS11-Actual Attempt-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months)
	CSS1113A		C118050	CSS11-Number of Actual Attempts-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime).	C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
	CSS1113B		C118051	CSS11-Number of Actual Attempts-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months).	C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months)
	CSS1113C		C118052	CSS11-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of actual attempt.	C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
	CSS1114A		C118053	CSS11-Non-suicid Self-injur Behav-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).	C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime)
	CSS1114B		C118054	CSS11-Non-suicid Self-injur Behav-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months)
	CSS1115A		C118055	CSS11-Interrupted Attempt-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Lifetime).	C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime)
	CSS1115B		C118056	CSS11-Interrupted Attempt-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months)
	CSS1116A		C118057	CSS11-Num of Interrupted Attempts-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime).	C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
	CSS1116B		C118058	CSS11-Num of Interrupted Attempts-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months).	C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months)
	CSS1116C		C118059	CSS11-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt.	C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
	CSS1117A		C118060	CSS11-Aborted Attempt-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).	C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime)
	CSS1117B		C118061	CSS11-Aborted Attempt-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months)
	CSS1118A		C118062	CSS11-Number of Aborted Attempts-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime).	C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime)
	CSS1118B		C118063	CSS11-Number of Aborted Attempts-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months).	C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months)
	CSS1118C		C118064	CSS11-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt.	C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
	CSS1119A		C118065	CSS11-Preparatory Acts/Behavior-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).	C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
	CSS1119B		C118066	CSS11-Preparatory Acts/Behavior-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
	CSS1119C		C118067	CSS11-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior.	C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS1120A		C118068	CSS11-Suicidal Behavior-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime).	C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
	CSS1120B		C118069	CSS11-Suicidal Behavior-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months)
	CSS1121A		C118070	CSS11-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt date.	C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
	CSS1121B		C118071	CSS11-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage.	C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS1121C		C118072	CSS11-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality.	C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
	CSS1122A		C118073	CSS11-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date.	C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
	CSS1122B		C118074	CSS11-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage.	C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS1122C		C118075	CSS11-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality.	C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
	CSS1123A		C118076	CSS11-First Attempt Date	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date.	C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
	CSS1123B		C118077	CSS11-First Attempt Damage	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage.	C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage
	CSS1123C		C118078	CSS11-First Attempt Potential	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality.	C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality
Back to top
CL.C117988.C-SSRS Lifetime/Recent Version TEST	QS-Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name (C-SSRS Lifetime/Recent Version TEST)	text Extensible: No	C117988	QS-Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version test name.	CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Name Terminology
	CSS11-Aborted Attempt, Describe		C118064	CSS11-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt.	C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
	CSS11-Aborted Attempt-Life		C118060	CSS11-Aborted Attempt-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).	C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime)
	CSS11-Aborted Attempt-P3M		C118061	CSS11-Aborted Attempt-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months)
	CSS11-Actual Attempt, Describe		C118052	CSS11-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of actual attempt.	C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
	CSS11-Actual Attempt-Life		C118048	CSS11-Actual Attempt-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).	C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Lifetime)
	CSS11-Actual Attempt-P3M		C118049	CSS11-Actual Attempt-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months)
	CSS11-First Attempt Damage		C118077	CSS11-First Attempt Damage	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage.	C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage
	CSS11-First Attempt Date		C118076	CSS11-First Attempt Date	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date.	C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
	CSS11-First Attempt Potential		C118078	CSS11-First Attempt Potential	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality.	C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality
	CSS11-Idea, Intent, No Plan, Describe		C118030	CSS11-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS11-Idea, Intent, No Plan-Life		C118028	CSS11-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
	CSS11-Idea, Intent, No Plan-P1M		C118029	CSS11-Idea, Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month)
	CSS11-Idea, No Intent, No Plan, Describe		C118027	CSS11-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS11-Idea, No Intent, No Plan-Life		C118025	CSS11-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
	CSS11-Idea, No Intent, No Plan-P1M		C118026	CSS11-Idea, No Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month)
	CSS11-Idea, Plan, Intent, Describe		C118033	CSS11-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent.	C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS11-Idea, Plan, Intent-Life		C118031	CSS11-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
	CSS11-Idea, Plan, Intent-P1M		C118032	CSS11-Idea, Plan, Intent-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month)
	CSS11-Interrupted Attempt, Describe		C118059	CSS11-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt.	C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
	CSS11-Interrupted Attempt-Life		C118055	CSS11-Interrupted Attempt-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Lifetime).	C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime)
	CSS11-Interrupted Attempt-P3M		C118056	CSS11-Interrupted Attempt-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months)
	CSS11-Most Lethal Attempt Damage		C118074	CSS11-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage.	C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS11-Most Lethal Attempt Date		C118073	CSS11-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date.	C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
	CSS11-Most Lethal Attempt Potential		C118075	CSS11-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality.	C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
	CSS11-Most Recent Attempt Damage		C118071	CSS11-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage.	C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS11-Most Recent Attempt Date		C118070	CSS11-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt date.	C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
	CSS11-Most Recent Attempt Potential		C118072	CSS11-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality.	C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
	CSS11-Most Severe Idea, Control-Life		C118042	CSS11-Most Severe Idea, Control-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).	C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea, Control-P1M		C118043	CSS11-Most Severe Idea, Control-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month)
	CSS11-Most Severe Idea, Desc-Life		C118035	CSS11-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime).	C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea, Desc-Recent-P1M		C118037	CSS11-Most Severe Idea, Desc-Recent-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month).	C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month)
	CSS11-Most Severe Idea, Deterrents-Life		C118044	CSS11-Most Severe Idea, Deterrents-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).	C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea, Deterrents-P1M		C118045	CSS11-Most Severe Idea, Deterrents-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month)
	CSS11-Most Severe Idea, Duration-Life		C118040	CSS11-Most Severe Idea, Duration-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime).	C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea, Duration-P1M		C118041	CSS11-Most Severe Idea, Duration-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month)
	CSS11-Most Severe Idea, Frequency-Life		C118038	CSS11-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime).	C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea, Frequency-P1M		C118039	CSS11-Most Severe Idea, Frequency-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month)
	CSS11-Most Severe Idea, Reasons-Life		C118046	CSS11-Most Severe Idea, Reasons-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).	C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea, Reasons-P1M		C118047	CSS11-Most Severe Idea, Reasons-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month)
	CSS11-Most Severe Idea-Life		C118034	CSS11-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime).	C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
	CSS11-Most Severe Idea-Recent-P1M		C118036	CSS11-Most Severe Idea-Recent-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month).	C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month)
	CSS11-Non-Spec Suicid Thought, Describe		C118024	CSS11-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts.	C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts
	CSS11-Non-Spec Suicid Thought-Life		C118022	CSS11-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime).	C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS11-Non-Spec Suicid Thought-P1M		C118023	CSS11-Non-Spec Suicid Thought-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months)
	CSS11-Non-suicid Self-injur Behav-Life		C118053	CSS11-Non-suicid Self-injur Behav-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).	C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime)
	CSS11-Non-suicid Self-injur Behav-P3M		C118054	CSS11-Non-suicid Self-injur Behav-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months)
	CSS11-Num of Interrupted Attempts-Life		C118057	CSS11-Num of Interrupted Attempts-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime).	C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
	CSS11-Num of Interrupted Attempts-P3M		C118058	CSS11-Num of Interrupted Attempts-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months).	C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months)
	CSS11-Number of Aborted Attempts-Life		C118062	CSS11-Number of Aborted Attempts-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime).	C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime)
	CSS11-Number of Aborted Attempts-P3M		C118063	CSS11-Number of Aborted Attempts-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months).	C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months)
	CSS11-Number of Actual Attempts-Life		C118050	CSS11-Number of Actual Attempts-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime).	C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
	CSS11-Number of Actual Attempts-P3M		C118051	CSS11-Number of Actual Attempts-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months).	C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months)
	CSS11-Preparatory Acts/Behavior, Descr		C118067	CSS11-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior.	C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS11-Preparatory Acts/Behavior-Life		C118065	CSS11-Preparatory Acts/Behavior-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).	C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
	CSS11-Preparatory Acts/Behavior-P3M		C118066	CSS11-Preparatory Acts/Behavior-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
	CSS11-Suicidal Behavior-Life		C118068	CSS11-Suicidal Behavior-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime).	C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
	CSS11-Suicidal Behavior-P3M		C118069	CSS11-Suicidal Behavior-P3M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months).	C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months)
	CSS11-Wish to be Dead, Describe		C118021	CSS11-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead.	C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
	CSS11-Wish to be Dead-Life		C118019	CSS11-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).	C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime)
	CSS11-Wish to be Dead-P1M		C118020	CSS11-Wish to be Dead-P1M	Columbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month).	C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month)
Back to top
CL.C113848.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCD	QS-Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code (C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCD)	text Extensible: No	C113848	QS-Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test code.	CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Code Terminology
	CSS1001A		C113889	CSS10-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
	CSS1001B		C113890	CSS10-Wish to be Dead-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
	CSS1001C		C113891	CSS10-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
	CSS1002A		C113892	CSS10-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS1002B		C113893	CSS10-Non-Spec Suicid Thought-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
	CSS1002C		C113894	CSS10-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
	CSS1003A		C113895	CSS10-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
	CSS1003B		C113896	CSS10-Idea, No Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
	CSS1003C		C113897	CSS10-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
	CSS1004A		C113898	CSS10-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
	CSS1004B		C113899	CSS10-Idea, Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
	CSS1004C		C113900	CSS10-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
	CSS1005A		C113901	CSS10-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
	CSS1005B		C113902	CSS10-Idea, Plan, Intent-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
	CSS1005C		C113903	CSS10-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
	CSS1006A		C113904	CSS10-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
	CSS1006B		C113905	CSS10-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
	CSS1006C		C113906	CSS10-Most Severe Idea-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
	CSS1006D		C113907	CSS10-Most Severe Idea, Desc-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
	CSS1007A		C113908	CSS10-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
	CSS1007B		C113909	CSS10-Most Severe Idea, Frequency-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
	CSS1007C		C113910	CSS10-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
	CSS1008A		C113911	CSS10-Actual Attempt-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
	CSS1008B		C113912	CSS10-Actual Attempt-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
	CSS1009A		C113913	CSS10-Number of Actual Attempts-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
	CSS1009B		C113914	CSS10-Number of Actual Attempts-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
	CSS1009C		C113915	CSS10-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
	CSS1010A		C113916	CSS10-Non-suicidal Self-injur Behav-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
	CSS1010B		C113917	CSS10-Non-suicidal Self-injur Behav-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
	CSS1011A		C113918	CSS10-Self-injur Behav, Intent Unk-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
	CSS1011B		C113919	CSS10-Self-injur Behav, Intent Unk-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
	CSS1012A		C113920	CSS10-Interrupted Attempt-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
	CSS1012B		C113921	CSS10-Interrupted Attempt-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
	CSS1013A		C113922	CSS10-Number of Interrupt Attempts-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
	CSS1013B		C113923	CSS10-Number of Interrupt Attempts-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
	CSS1013C		C113924	CSS10-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
	CSS1014A		C113925	CSS10-Aborted Attempt-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
	CSS1014B		C113926	CSS10-Aborted Attempt-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
	CSS1015A		C113927	CSS10-Number of Aborted Attempts-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
	CSS1015B		C113928	CSS10-Number of Aborted Attempts-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
	CSS1015C		C113929	CSS10-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
	CSS1016A		C113930	CSS10-Preparatory Acts/Behavior-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
	CSS1016B		C113931	CSS10-Preparatory Acts/Behavior-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
	CSS1016C		C113932	CSS10-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS1017A		C113933	CSS10-Suicidal Behavior-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
	CSS1017B		C113934	CSS10-Suicidal Behavior-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
	CSS1018A		C113935	CSS10-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
	CSS1018B		C113936	CSS10-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS1018C		C113937	CSS10-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
	CSS1019A		C113938	CSS10-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
	CSS1019B		C113939	CSS10-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS1019C		C113940	CSS10-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
	CSS1020A		C113941	CSS10-First Attempt Date	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
	CSS1020B		C113942	CSS10-First Attempt Damage	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
	CSS1020C		C113943	CSS10-First Attempt Potential	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
Back to top
CL.C113847.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TEST	QS-Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name (C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TEST)	text Extensible: No	C113847	QS-Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test name.	CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Name Terminology
	CSS10-Aborted Attempt, Describe		C113929	CSS10-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
	CSS10-Aborted Attempt-Life		C113925	CSS10-Aborted Attempt-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
	CSS10-Aborted Attempt-P3M		C113926	CSS10-Aborted Attempt-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
	CSS10-Actual Attempt, Describe		C113915	CSS10-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
	CSS10-Actual Attempt-Life		C113911	CSS10-Actual Attempt-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
	CSS10-Actual Attempt-P3M		C113912	CSS10-Actual Attempt-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
	CSS10-First Attempt Damage		C113942	CSS10-First Attempt Damage	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
	CSS10-First Attempt Date		C113941	CSS10-First Attempt Date	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
	CSS10-First Attempt Potential		C113943	CSS10-First Attempt Potential	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
	CSS10-Frequency, Write Response		C113910	CSS10-Frequency, Write Response	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
	CSS10-Idea, Intent, No Plan, Describe		C113900	CSS10-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
	CSS10-Idea, Intent, No Plan-Life		C113898	CSS10-Idea, Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
	CSS10-Idea, Intent, No Plan-P1M		C113899	CSS10-Idea, Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
	CSS10-Idea, No Intent, No Plan, Describe		C113897	CSS10-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
	CSS10-Idea, No Intent, No Plan-Life		C113895	CSS10-Idea, No Intent, No Plan-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
	CSS10-Idea, No Intent, No Plan-P1M		C113896	CSS10-Idea, No Intent, No Plan-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
	CSS10-Idea, Plan, Intent, Describe		C113903	CSS10-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
	CSS10-Idea, Plan, Intent-Life		C113901	CSS10-Idea, Plan, Intent-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
	CSS10-Idea, Plan, Intent-P1M		C113902	CSS10-Idea, Plan, Intent-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
	CSS10-Interrupted Attempt, Describe		C113924	CSS10-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
	CSS10-Interrupted Attempt-Life		C113920	CSS10-Interrupted Attempt-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
	CSS10-Interrupted Attempt-P3M		C113921	CSS10-Interrupted Attempt-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
	CSS10-Most Lethal Attempt Damage		C113939	CSS10-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS10-Most Lethal Attempt Date		C113938	CSS10-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
	CSS10-Most Lethal Attempt Potential		C113940	CSS10-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
	CSS10-Most Recent Attempt Damage		C113936	CSS10-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS10-Most Recent Attempt Date		C113935	CSS10-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
	CSS10-Most Recent Attempt Potential		C113937	CSS10-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
	CSS10-Most Severe Idea, Desc-Life		C113905	CSS10-Most Severe Idea, Desc-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
	CSS10-Most Severe Idea, Desc-P1M		C113907	CSS10-Most Severe Idea, Desc-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
	CSS10-Most Severe Idea, Frequency-Life		C113908	CSS10-Most Severe Idea, Frequency-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
	CSS10-Most Severe Idea, Frequency-P1M		C113909	CSS10-Most Severe Idea, Frequency-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
	CSS10-Most Severe Idea-Life		C113904	CSS10-Most Severe Idea-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
	CSS10-Most Severe Idea-P1M		C113906	CSS10-Most Severe Idea-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
	CSS10-Non-Spec Suicid Thought, Describe		C113894	CSS10-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
	CSS10-Non-Spec Suicid Thought-Life		C113892	CSS10-Non-Spec Suicid Thought-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
	CSS10-Non-Spec Suicid Thought-P1M		C113893	CSS10-Non-Spec Suicid Thought-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
	CSS10-Non-suicidal Self-injur Behav-Life		C113916	CSS10-Non-suicidal Self-injur Behav-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
	CSS10-Non-suicidal Self-injur Behav-P3M		C113917	CSS10-Non-suicidal Self-injur Behav-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
	CSS10-Number of Aborted Attempts-Life		C113927	CSS10-Number of Aborted Attempts-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
	CSS10-Number of Aborted Attempts-P3M		C113928	CSS10-Number of Aborted Attempts-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
	CSS10-Number of Actual Attempts-Life		C113913	CSS10-Number of Actual Attempts-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
	CSS10-Number of Actual Attempts-P3M		C113914	CSS10-Number of Actual Attempts-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
	CSS10-Number of Interrupt Attempts-Life		C113922	CSS10-Number of Interrupt Attempts-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
	CSS10-Number of Interrupt Attempts-P3M		C113923	CSS10-Number of Interrupt Attempts-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
	CSS10-Preparatory Acts/Behavior, Descr		C113932	CSS10-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS10-Preparatory Acts/Behavior-Life		C113930	CSS10-Preparatory Acts/Behavior-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
	CSS10-Preparatory Acts/Behavior-P3M		C113931	CSS10-Preparatory Acts/Behavior-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
	CSS10-Self-injur Behav, Intent Unk-Life		C113918	CSS10-Self-injur Behav, Intent Unk-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
	CSS10-Self-injur Behav, Intent Unk-P3M		C113919	CSS10-Self-injur Behav, Intent Unk-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
	CSS10-Suicidal Behavior-Life		C113933	CSS10-Suicidal Behavior-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
	CSS10-Suicidal Behavior-P3M		C113934	CSS10-Suicidal Behavior-P3M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
	CSS10-Wish to be Dead, Describe		C113891	CSS10-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
	CSS10-Wish to be Dead-Life		C113889	CSS10-Wish to be Dead-Life	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
	CSS10-Wish to be Dead-P1M		C113890	CSS10-Wish to be Dead-P1M	Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).	C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
Back to top
CL.C111342.C-SSRS Screening TESTCD	QS-Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code (C-SSRS Screening TESTCD)	text Extensible: No	C111342	QS-Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Screening test code.	CDISC Questionnaire C-SSRS Screening Test Code Terminology
	CSS0901		C111460	CSS09-Wish to be Dead	Columbia-Suicide Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?	C-SSRS Screening - Wish to be Dead
	CSS0901A		C111461	CSS09-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of wishing to be dead.	C-SSRS Screening - Description of Wish to be Dead
	CSS0902		C111462	CSS09-Non-Spec Suicid Thought	Columbia-Suicide Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?	C-SSRS Screening - Non-Specific Active Suicidal Thoughts
	CSS0902A		C111463	CSS09-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.	C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
	CSS0903		C111464	CSS09-Idea, No Intent, No Plan	Columbia-Suicide Severity Rating Scale Screening - Have you been thinking about how you might do this?	C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0903A		C111465	CSS09-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS0904		C111466	CSS09-Idea, Intent, No Plan	Columbia-Suicide 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
	CSS0904A		C111467	CSS09-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS0905		C111468	CSS09-Idea, Plan, Intent	Columbia-Suicide Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?	C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
	CSS0905A		C111469	CSS09-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.	C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS0906		C111470	CSS09-Most Severe Idea	Columbia-Suicide Severity Rating Scale Screening - Most severe ideation.	C-SSRS Screening - Most Severe Ideation
	CSS0906A		C111471	CSS09-Most Severe Idea, Desc	Columbia-Suicide Severity Rating Scale Screening - Description of most severe ideation.	C-SSRS Screening - Describe Most Severe Ideation
	CSS0907		C111472	CSS09-Most Severe Idea, Frequency	Columbia-Suicide Severity Rating Scale Screening - How many times have you had these thoughts?	C-SSRS Screening - Frequency of Most Severe Ideation
	CSS0908		C111473	CSS09-Most Severe Idea, Duration	Columbia-Suicide Severity Rating Scale Screening - When you have the thoughts, how long do they last?	C-SSRS Screening - Duration of Most Severe Ideation
	CSS0909		C111474	CSS09-Most Severe Idea, Controllability	Columbia-Suicide Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?	C-SSRS Screening - Controllability of Most Severe Ideation
	CSS0910		C111475	CSS09-Most Severe Idea, Deterrents	Columbia-Suicide Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?	C-SSRS Screening - Deterrents to Most Severe Ideation
	CSS0911		C111476	CSS09-Most Severe Idea, Reasons	Columbia-Suicide Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?	C-SSRS Screening - Reasons for Most Severe Ideation
	CSS0912		C111477	CSS09-Actual Attempt	Columbia-Suicide Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Screening - Actual Suicide Attempt
	CSS0913		C111478	CSS09-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Screening - Total number of actual attempts.	C-SSRS Screening - Number of Actual Suicide Attempts
	CSS0913A		C111479	CSS09-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of actual attempt.	C-SSRS Screening - Description of Actual Suicide Attempt
	CSS0914		C111480	CSS09-Non-suicidal Self-injur Behav	Columbia-Suicide Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Screening - Non-suicidal Self-injurious Behavior
	CSS0915		C111481	CSS09-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?	C-SSRS Screening - Interrupted Suicide Attempt
	CSS0916		C111482	CSS09-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Screening - Total number of interrupted attempts.	C-SSRS Screening - Number of Interrupted Suicide Attempts
	CSS0916A		C111483	CSS09-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of interrupted attempt.	C-SSRS Screening - Description of Interrupted Suicide Attempt
	CSS0917		C111484	CSS09-Aborted Attempt	Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Screening - Aborted Suicide Attempt
	CSS0918		C111485	CSS09-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Screening - Total number of aborted attempts.	C-SSRS Screening - Number of Aborted Suicide Attempts
	CSS0918A		C111486	CSS09-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of aborted attempt.	C-SSRS Screening - Description of Aborted Suicide Attempt
	CSS0919		C111487	CSS09-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0919A		C111488	CSS09-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Screening - Description of preparatory acts or behavior.	C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0920		C111489	CSS09-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?	C-SSRS Screening - Suicidal Behavior
	CSS0921A		C111490	CSS09-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Screening - Most recent attempt date.	C-SSRS Screening - Most Recent Suicide Attempt Date
	CSS0921B		C111491	CSS09-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.	C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS0921C		C111492	CSS09-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Screening - Most recent attempt potential lethality.	C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
	CSS0922A		C111493	CSS09-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt date.	C-SSRS Screening - Most Lethal Suicide Attempt Date
	CSS0922B		C111494	CSS09-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.	C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS0922C		C111495	CSS09-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt potential lethality.	C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
	CSS0923A		C111496	CSS09-First Attempt Date	Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt date.	C-SSRS Screening - First Suicide Attempt Date
	CSS0923B		C111497	CSS09-First Attempt Damage	Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.	C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
	CSS0923C		C111498	CSS09-First Attempt Potential	Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt potential lethality.	C-SSRS Screening - First Suicide Attempt Potential Lethality
Back to top
CL.C111341.C-SSRS Screening TEST	QS-Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name (C-SSRS Screening TEST)	text Extensible: No	C111341	QS-Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Screening test name.	CDISC Questionnaire C-SSRS Screening Test Name Terminology
	CSS09-Aborted Attempt		C111484	CSS09-Aborted Attempt	Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Screening - Aborted Suicide Attempt
	CSS09-Aborted Attempt, Describe		C111486	CSS09-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of aborted attempt.	C-SSRS Screening - Description of Aborted Suicide Attempt
	CSS09-Actual Attempt		C111477	CSS09-Actual Attempt	Columbia-Suicide Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Screening - Actual Suicide Attempt
	CSS09-Actual Attempt, Describe		C111479	CSS09-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of actual attempt.	C-SSRS Screening - Description of Actual Suicide Attempt
	CSS09-First Attempt Damage		C111497	CSS09-First Attempt Damage	Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.	C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
	CSS09-First Attempt Date		C111496	CSS09-First Attempt Date	Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt date.	C-SSRS Screening - First Suicide Attempt Date
	CSS09-First Attempt Potential		C111498	CSS09-First Attempt Potential	Columbia-Suicide Severity Rating Scale Screening - Initial/first attempt potential lethality.	C-SSRS Screening - First Suicide Attempt Potential Lethality
	CSS09-Idea, Intent, No Plan		C111466	CSS09-Idea, Intent, No Plan	Columbia-Suicide Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?	C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS09-Idea, Intent, No Plan, Describe		C111467	CSS09-Idea, Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
	CSS09-Idea, No Intent, No Plan		C111464	CSS09-Idea, No Intent, No Plan	Columbia-Suicide Severity Rating Scale Screening - Have you been thinking about how you might do this?	C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS09-Idea, No Intent, No Plan, Describe		C111465	CSS09-Idea, No Intent, No Plan, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
	CSS09-Idea, Plan, Intent		C111468	CSS09-Idea, Plan, Intent	Columbia-Suicide Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?	C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
	CSS09-Idea, Plan, Intent, Describe		C111469	CSS09-Idea, Plan, Intent, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.	C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
	CSS09-Interrupted Attempt		C111481	CSS09-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?	C-SSRS Screening - Interrupted Suicide Attempt
	CSS09-Interrupted Attempt, Describe		C111483	CSS09-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of interrupted attempt.	C-SSRS Screening - Description of Interrupted Suicide Attempt
	CSS09-Most Lethal Attempt Damage		C111494	CSS09-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.	C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
	CSS09-Most Lethal Attempt Date		C111493	CSS09-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt date.	C-SSRS Screening - Most Lethal Suicide Attempt Date
	CSS09-Most Lethal Attempt Potential		C111495	CSS09-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Screening - Most lethal attempt potential lethality.	C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
	CSS09-Most Recent Attempt Damage		C111491	CSS09-Most Recent Attempt Damage	Columbia-Suicide Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.	C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
	CSS09-Most Recent Attempt Date		C111490	CSS09-Most Recent Attempt Date	Columbia-Suicide Severity Rating Scale Screening - Most recent attempt date.	C-SSRS Screening - Most Recent Suicide Attempt Date
	CSS09-Most Recent Attempt Potential		C111492	CSS09-Most Recent Attempt Potential	Columbia-Suicide Severity Rating Scale Screening - Most recent attempt potential lethality.	C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
	CSS09-Most Severe Idea		C111470	CSS09-Most Severe Idea	Columbia-Suicide Severity Rating Scale Screening - Most severe ideation.	C-SSRS Screening - Most Severe Ideation
	CSS09-Most Severe Idea, Controllability		C111474	CSS09-Most Severe Idea, Controllability	Columbia-Suicide Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?	C-SSRS Screening - Controllability of Most Severe Ideation
	CSS09-Most Severe Idea, Desc		C111471	CSS09-Most Severe Idea, Desc	Columbia-Suicide Severity Rating Scale Screening - Description of most severe ideation.	C-SSRS Screening - Describe Most Severe Ideation
	CSS09-Most Severe Idea, Deterrents		C111475	CSS09-Most Severe Idea, Deterrents	Columbia-Suicide Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?	C-SSRS Screening - Deterrents to Most Severe Ideation
	CSS09-Most Severe Idea, Duration		C111473	CSS09-Most Severe Idea, Duration	Columbia-Suicide Severity Rating Scale Screening - When you have the thoughts, how long do they last?	C-SSRS Screening - Duration of Most Severe Ideation
	CSS09-Most Severe Idea, Frequency		C111472	CSS09-Most Severe Idea, Frequency	Columbia-Suicide Severity Rating Scale Screening - How many times have you had these thoughts?	C-SSRS Screening - Frequency of Most Severe Ideation
	CSS09-Most Severe Idea, Reasons		C111476	CSS09-Most Severe Idea, Reasons	Columbia-Suicide Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?	C-SSRS Screening - Reasons for Most Severe Ideation
	CSS09-Non-Spec Suicid Thought		C111462	CSS09-Non-Spec Suicid Thought	Columbia-Suicide Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?	C-SSRS Screening - Non-Specific Active Suicidal Thoughts
	CSS09-Non-Spec Suicid Thought, Describe		C111463	CSS09-Non-Spec Suicid Thought, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.	C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
	CSS09-Non-suicidal Self-injur Behav		C111480	CSS09-Non-suicidal Self-injur Behav	Columbia-Suicide Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?	C-SSRS Screening - Non-suicidal Self-injurious Behavior
	CSS09-Number of Aborted Attempts		C111485	CSS09-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Screening - Total number of aborted attempts.	C-SSRS Screening - Number of Aborted Suicide Attempts
	CSS09-Number of Actual Attempts		C111478	CSS09-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Screening - Total number of actual attempts.	C-SSRS Screening - Number of Actual Suicide Attempts
	CSS09-Number of Interrupt Attempts		C111482	CSS09-Number of Interrupt Attempts	Columbia-Suicide Severity Rating Scale Screening - Total number of interrupted attempts.	C-SSRS Screening - Number of Interrupted Suicide Attempts
	CSS09-Preparatory Acts/Behavior		C111487	CSS09-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS09-Preparatory Acts/Behavior, Descr		C111488	CSS09-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Screening - Description of preparatory acts or behavior.	C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS09-Suicidal Behavior		C111489	CSS09-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?	C-SSRS Screening - Suicidal Behavior
	CSS09-Wish to be Dead		C111460	CSS09-Wish to be Dead	Columbia-Suicide Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?	C-SSRS Screening - Wish to be Dead
	CSS09-Wish to be Dead, Describe		C111461	CSS09-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Screening - Description of wishing to be dead.	C-SSRS Screening - Description of Wish to be Dead
Back to top
CL.C103461.C-SSRS Since Last Visit TESTCD	QS-Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code (C-SSRS Since Last Visit TESTCD)	text Extensible: No	C103461	QS-Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code	Columbia-Suicide Severity Rating Scale Since Last Visit test code.	CDISC Questionnaire C-SSRS Since Last Visit Test Code Terminology
	CSS0201		C103772	CSS02-Wish to be Dead	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?	C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
	CSS0201A		C103773	CSS02-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of wishing to be dead.	C-SSRS Since Last Visit - Description of Wish to be Dead
	CSS0202		C103774	CSS02-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?	C-SSRS Since Last Visit - Non-Specific Suicidal Thought
	CSS0202A		C103775	CSS02-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.	C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
	CSS0203		C103776	CSS02-Suicidal Ideation-No Intent	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?	C-SSRS Since Last Visit - Suicidal Ideation-No Intent
	CSS0203A		C103777	CSS02-Suicidal Ideation-No Intent, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
	CSS0204		C103799	CSS02-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?	C-SSRS Since Last Visit - Ideation With Intent, No Plan
	CSS0204A		C103800	CSS02-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
	CSS0205		C103801	CSS02-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?	C-SSRS Since Last Visit - Ideation With Plan/Intent
	CSS0205A		C103778	CSS02-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.	C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
	CSS0206		C103779	CSS02-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Since Last Visit - Most severe ideation.	C-SSRS Since Last Visit - Most Severe Ideation
	CSS0206A		C103780	CSS02-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of most severe ideation.	C-SSRS Since Last Visit - Describe Most Severe Ideation
	CSS0207		C103781	CSS02-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Since Last Visit - How many times have you had these thoughts?	C-SSRS Since Last Visit - Frequency of Most Severe Ideation
	CSS0208		C103782	CSS02-Most Severe Ideation, Duration	Columbia-Suicide Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last?	C-SSRS Since Last Visit - Duration of Most Severe Ideation
	CSS0209		C103783	CSS02-Most Severe Ideation, Control	Columbia-Suicide Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?	C-SSRS Since Last Visit - Control over Most Severe Ideation
	CSS0210		C103784	CSS02-Most Severe Ideation, Deterrents	Columbia-Suicide Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?	C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
	CSS0211		C103785	CSS02-Most Severe Ideation, Reasons	Columbia-Suicide Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?	C-SSRS Since Last Visit - Reasons for Most Severe Ideation
	CSS0212		C103786	CSS02-Actual Attempt	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Since Last Visit - Actual Suicide Attempt
	CSS0213		C103787	CSS02-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of actual attempts.	C-SSRS Since Last Visit - Number of Actual Suicide Attempts
	CSS0213A		C103788	CSS02-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of actual attempt.	C-SSRS Since Last Visit - Description of Actual Suicide Attempts
	CSS0214		C103789	CSS02-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.	C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
	CSS0215		C103790	CSS02-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?	C-SSRS Since Last Visit - Interrupted Suicide Attempt
	CSS0216		C103791	CSS02-Number of Interrupted Attempts	Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of interrupted attempts.	C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
	CSS0216A		C103792	CSS02-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of interrupted attempt.	C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
	CSS0217		C103793	CSS02-Aborted Attempt	Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Since Last Visit - Aborted Suicide Attempt
	CSS0218		C103794	CSS02-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of aborted attempts.	C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
	CSS0218A		C103795	CSS02-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of aborted attempt.	C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
	CSS0219		C103796	CSS02-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0219A		C103797	CSS02-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.	C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS0220		C103798	CSS02-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?	C-SSRS Since Last Visit - Suicidal Behavior
	CSS0221		C103532	CSS02-Suicide	Columbia-Suicide Severity Rating Scale Since Last Visit - Suicide.	C-SSRS Since Last Visit - Suicide
	CSS0222A		C103533	CSS02-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt date.	C-SSRS Since Last Visit - Most Lethal Attempt Date
	CSS0222B		C103534	CSS02-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.	C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
	CSS0222C		C103535	CSS02-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.	C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
Back to top
CL.C103460.C-SSRS Since Last Visit TEST	QS-Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name (C-SSRS Since Last Visit TEST)	text Extensible: No	C103460	QS-Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name	Columbia-Suicide Severity Rating Scale Since Last Visit test name.	CDISC Questionnaire C-SSRS Since Last Visit Test Name Terminology
	CSS02-Aborted Attempt		C103793	CSS02-Aborted Attempt	Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?	C-SSRS Since Last Visit - Aborted Suicide Attempt
	CSS02-Aborted Attempt, Describe		C103795	CSS02-Aborted Attempt, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of aborted attempt.	C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
	CSS02-Actual Attempt		C103786	CSS02-Actual Attempt	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?	C-SSRS Since Last Visit - Actual Suicide Attempt
	CSS02-Actual Attempt, Describe		C103788	CSS02-Actual Attempt, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of actual attempt.	C-SSRS Since Last Visit - Description of Actual Suicide Attempts
	CSS02-Ideation With Intent No Plan Descr		C103800	CSS02-Ideation With Intent No Plan Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.	C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
	CSS02-Ideation With Intent, No Plan		C103799	CSS02-Ideation With Intent, No Plan	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?	C-SSRS Since Last Visit - Ideation With Intent, No Plan
	CSS02-Ideation With Plan/Intent		C103801	CSS02-Ideation With Plan/Intent	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?	C-SSRS Since Last Visit - Ideation With Plan/Intent
	CSS02-Ideation With Plan/Intent, Descr		C103778	CSS02-Ideation With Plan/Intent, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.	C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
	CSS02-Interrupted Attempt		C103790	CSS02-Interrupted Attempt	Columbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?	C-SSRS Since Last Visit - Interrupted Suicide Attempt
	CSS02-Interrupted Attempt, Describe		C103792	CSS02-Interrupted Attempt, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of interrupted attempt.	C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
	CSS02-Most Lethal Attempt Damage		C103534	CSS02-Most Lethal Attempt Damage	Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.	C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
	CSS02-Most Lethal Attempt Date		C103533	CSS02-Most Lethal Attempt Date	Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt date.	C-SSRS Since Last Visit - Most Lethal Attempt Date
	CSS02-Most Lethal Attempt Potential		C103535	CSS02-Most Lethal Attempt Potential	Columbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.	C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
	CSS02-Most Severe Ideation		C103779	CSS02-Most Severe Ideation	Columbia-Suicide Severity Rating Scale Since Last Visit - Most severe ideation.	C-SSRS Since Last Visit - Most Severe Ideation
	CSS02-Most Severe Ideation, Control		C103783	CSS02-Most Severe Ideation, Control	Columbia-Suicide Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?	C-SSRS Since Last Visit - Control over Most Severe Ideation
	CSS02-Most Severe Ideation, Description		C103780	CSS02-Most Severe Ideation, Description	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of most severe ideation.	C-SSRS Since Last Visit - Describe Most Severe Ideation
	CSS02-Most Severe Ideation, Deterrents		C103784	CSS02-Most Severe Ideation, Deterrents	Columbia-Suicide Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?	C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
	CSS02-Most Severe Ideation, Duration		C103782	CSS02-Most Severe Ideation, Duration	Columbia-Suicide Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last?	C-SSRS Since Last Visit - Duration of Most Severe Ideation
	CSS02-Most Severe Ideation, Frequency		C103781	CSS02-Most Severe Ideation, Frequency	Columbia-Suicide Severity Rating Scale Since Last Visit - How many times have you had these thoughts?	C-SSRS Since Last Visit - Frequency of Most Severe Ideation
	CSS02-Most Severe Ideation, Reasons		C103785	CSS02-Most Severe Ideation, Reasons	Columbia-Suicide Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?	C-SSRS Since Last Visit - Reasons for Most Severe Ideation
	CSS02-Non-Specific Suicid Thought, Descr		C103775	CSS02-Non-Specific Suicid Thought, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.	C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
	CSS02-Non-Specific Suicidal Thought		C103774	CSS02-Non-Specific Suicidal Thought	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?	C-SSRS Since Last Visit - Non-Specific Suicidal Thought
	CSS02-Non-suicidal Self-injurious Behav		C103789	CSS02-Non-suicidal Self-injurious Behav	Columbia-Suicide Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.	C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
	CSS02-Number of Aborted Attempts		C103794	CSS02-Number of Aborted Attempts	Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of aborted attempts.	C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
	CSS02-Number of Actual Attempts		C103787	CSS02-Number of Actual Attempts	Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of actual attempts.	C-SSRS Since Last Visit - Number of Actual Suicide Attempts
	CSS02-Number of Interrupted Attempts		C103791	CSS02-Number of Interrupted Attempts	Columbia-Suicide Severity Rating Scale Since Last Visit - Total number of interrupted attempts.	C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
	CSS02-Preparatory Acts/Behavior		C103796	CSS02-Preparatory Acts/Behavior	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?	C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS02-Preparatory Acts/Behavior, Descr		C103797	CSS02-Preparatory Acts/Behavior, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.	C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
	CSS02-Suicidal Behavior		C103798	CSS02-Suicidal Behavior	Columbia-Suicide Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?	C-SSRS Since Last Visit - Suicidal Behavior
	CSS02-Suicidal Ideation-No Intent		C103776	CSS02-Suicidal Ideation-No Intent	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?	C-SSRS Since Last Visit - Suicidal Ideation-No Intent
	CSS02-Suicidal Ideation-No Intent, Descr		C103777	CSS02-Suicidal Ideation-No Intent, Descr	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.	C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
	CSS02-Suicide		C103532	CSS02-Suicide	Columbia-Suicide Severity Rating Scale Since Last Visit - Suicide.	C-SSRS Since Last Visit - Suicide
	CSS02-Wish to be Dead		C103772	CSS02-Wish to be Dead	Columbia-Suicide Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?	C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
	CSS02-Wish to be Dead, Describe		C103773	CSS02-Wish to be Dead, Describe	Columbia-Suicide Severity Rating Scale Since Last Visit - Description of wishing to be dead.	C-SSRS Since Last Visit - Description of Wish to be Dead
Back to top
CL.C117987.CHART-SF Interview Version TESTCD	QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code (CHART-SF Interview Version TESTCD)	text Extensible: No	C117987	QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code	Craig Handicap Assessment and Reporting Technique - Short Form Interview Version test code.	CDISC Questionnaire CHART-SF Interview Version Test Code Terminology
	CHSF101A		C117998	CHSF1-Paid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).	CHART-SF Interview Version - Paid Personal Care per Day
	CHSF101B		C117999	CHSF1-Unpaid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).	CHART-SF Interview Version - Unpaid Personal Care per Day
	CHSF102		C118000	CHSF1-Home Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?	CHART-SF Interview Version - Cognitive Assistance at Home per Day
	CHSF103		C118001	CHSF1-Away Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?	CHART-SF Interview Version - Cognitive Assistance Away From Home per Day
	CHSF104		C118002	CHSF1-Hours Out of Bed per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed?	CHART-SF Interview Version - Hours Out of Bed per Day
	CHSF105		C118003	CHSF1-Days Out of the House per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere?	CHART-SF Interview Version - Days Out of the House per Week
	CHSF106		C118004	CHSF1-Nights Away From Home Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home?	CHART-SF Interview Version - Nights Away From Home Last Year
	CHSF107A		C118005	CHSF1-Hours of Paid Work per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid?	CHART-SF Interview Version - Hours of Paid Work per Week
	CHSF107B		C118006	CHSF1-Occupation of Paid Work	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation).	CHART-SF Interview Version - Occupation of Paid Work
	CHSF108		C118007	CHSF1-Hours of Schoolwork per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?	CHART-SF Interview Version - Hours of Schoolwork per Week
	CHSF109		C118008	CHSF1-Hours of Homemaking per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?	CHART-SF Interview Version - Hours of Homemaking per Week
	CHSF110		C118009	CHSF1-Hours of Home Maintenance per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?	CHART-SF Interview Version - Hours of Home Maintenance per Week
	CHSF111		C118010	CHSF1-Hours of Recreation per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?	CHART-SF Interview Version - Hours of Recreational Activities per Week
	CHSF112		C118011	CHSF1-Number of People You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with?	CHART-SF Interview Version - Number of People You Live With
	CHSF113		C118012	CHSF1-Live With Spouse or Signif Other	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other?	CHART-SF Interview Version - Live With Spouse or Significant Other
	CHSF114		C118013	CHSF1-Number of Relatives You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives?	CHART-SF Interview Version - Number of Relatives You Live With
	CHSF115		C118014	CHSF1-Associates Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month?	CHART-SF Interview Version - Associates Contacted per Month
	CHSF116		C118015	CHSF1-Friends Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month?	CHART-SF Interview Version - Friends Contacted per Month
	CHSF117		C118016	CHSF1-Strangers Spoke with Last Month	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month?	CHART-SF Interview Version - Initiated Conversation With Strangers Last Month
	CHSF118		C118017	CHSF1-Combined Household Income Last Yr	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household?	CHART-SF Interview Version - Combined Annual Household Income Last Year
	CHSF119		C118018	CHSF1-Medical Care Expenses Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses?	CHART-SF Interview Version - Medical Care Expense Last Year
Back to top
CL.C117986.CHART-SF Interview Version TEST	QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name (CHART-SF Interview Version TEST)	text Extensible: No	C117986	QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name	Craig Handicap Assessment and Reporting Technique - Short Form Interview Version test name.	CDISC Questionnaire CHART-SF Interview Version Test Name Terminology
	CHSF1-Associates Contacted per Month		C118014	CHSF1-Associates Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month?	CHART-SF Interview Version - Associates Contacted per Month
	CHSF1-Away Cognitive Assistance per Day		C118001	CHSF1-Away Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?	CHART-SF Interview Version - Cognitive Assistance Away From Home per Day
	CHSF1-Combined Household Income Last Yr		C118017	CHSF1-Combined Household Income Last Yr	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household?	CHART-SF Interview Version - Combined Annual Household Income Last Year
	CHSF1-Days Out of the House per Week		C118003	CHSF1-Days Out of the House per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere?	CHART-SF Interview Version - Days Out of the House per Week
	CHSF1-Friends Contacted per Month		C118015	CHSF1-Friends Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month?	CHART-SF Interview Version - Friends Contacted per Month
	CHSF1-Home Cognitive Assistance per Day		C118000	CHSF1-Home Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?	CHART-SF Interview Version - Cognitive Assistance at Home per Day
	CHSF1-Hours of Home Maintenance per Week		C118009	CHSF1-Hours of Home Maintenance per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?	CHART-SF Interview Version - Hours of Home Maintenance per Week
	CHSF1-Hours of Homemaking per Week		C118008	CHSF1-Hours of Homemaking per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?	CHART-SF Interview Version - Hours of Homemaking per Week
	CHSF1-Hours of Paid Work per Week		C118005	CHSF1-Hours of Paid Work per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid?	CHART-SF Interview Version - Hours of Paid Work per Week
	CHSF1-Hours of Recreation per Week		C118010	CHSF1-Hours of Recreation per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?	CHART-SF Interview Version - Hours of Recreational Activities per Week
	CHSF1-Hours of Schoolwork per Week		C118007	CHSF1-Hours of Schoolwork per Week	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?	CHART-SF Interview Version - Hours of Schoolwork per Week
	CHSF1-Hours Out of Bed per Day		C118002	CHSF1-Hours Out of Bed per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed?	CHART-SF Interview Version - Hours Out of Bed per Day
	CHSF1-Live With Spouse or Signif Other		C118012	CHSF1-Live With Spouse or Signif Other	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other?	CHART-SF Interview Version - Live With Spouse or Significant Other
	CHSF1-Medical Care Expenses Last Year		C118018	CHSF1-Medical Care Expenses Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses?	CHART-SF Interview Version - Medical Care Expense Last Year
	CHSF1-Nights Away From Home Last Year		C118004	CHSF1-Nights Away From Home Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home?	CHART-SF Interview Version - Nights Away From Home Last Year
	CHSF1-Number of People You Live With		C118011	CHSF1-Number of People You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with?	CHART-SF Interview Version - Number of People You Live With
	CHSF1-Number of Relatives You Live With		C118013	CHSF1-Number of Relatives You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives?	CHART-SF Interview Version - Number of Relatives You Live With
	CHSF1-Occupation of Paid Work		C118006	CHSF1-Occupation of Paid Work	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation).	CHART-SF Interview Version - Occupation of Paid Work
	CHSF1-Paid Personal Care per Day		C117998	CHSF1-Paid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).	CHART-SF Interview Version - Paid Personal Care per Day
	CHSF1-Strangers Spoke with Last Month		C118016	CHSF1-Strangers Spoke with Last Month	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month?	CHART-SF Interview Version - Initiated Conversation With Strangers Last Month
	CHSF1-Unpaid Personal Care per Day		C117999	CHSF1-Unpaid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).	CHART-SF Interview Version - Unpaid Personal Care per Day
Back to top
CL.C119068.CHART-SF Paper Version TESTCD	QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code (CHART-SF Paper Version TESTCD)	text Extensible: No	C119068	QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code	Craig Handicap Assessment and Reporting Technique - Short Form Paper Version test code.	CDISC Questionnaire CHART-SF Paper Version Test Code Terminology
	CHSF201A		C119142	CHSF2-Paid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).	CHART-SF Paper Version - Paid Personal Care per Day
	CHSF201B		C119143	CHSF2-Unpaid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).	CHART-SF Paper Version - Unpaid Personal Care per Day
	CHSF202		C119144	CHSF2-Home Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?	CHART-SF Paper Version - Cognitive Assistance at Home per Day
	CHSF203		C119145	CHSF2-Away Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?	CHART-SF Paper Version - Cognitive Assistance Away From Home per Day
	CHSF204		C119146	CHSF2-Hours Out of Bed per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed?	CHART-SF Paper Version - Hours Out of Bed per Day
	CHSF205		C119147	CHSF2-Days Out of the House per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere?	CHART-SF Paper Version - Days Out of the House per Week
	CHSF206		C119148	CHSF2-Nights Away From Home Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home?	CHART-SF Paper Version - Nights Away From Home Last Year
	CHSF207A		C119149	CHSF2-Hours of Paid Work per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid?	CHART-SF Paper Version - Hours of Paid Work per Week
	CHSF207B		C119150	CHSF2-Occupation of Paid Work	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation).	CHART-SF Paper Version - Occupation of Paid Work
	CHSF208		C119151	CHSF2-Hours of Schoolwork per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?	CHART-SF Paper Version - Hours of Schoolwork per Week
	CHSF209		C119152	CHSF2-Hours of Homemaking per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?	CHART-SF Paper Version - Hours of Homemaking per Week
	CHSF210		C119153	CHSF2-Hours of Home Maintenance per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?	CHART-SF Paper Version - Hours of Home Maintenance per Week
	CHSF211		C119154	CHSF2-Hours of Recreation per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?	CHART-SF Paper Version - Hours of Recreational Activities per Week
	CHSF212		C119155	CHSF2-Number of People You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with?	CHART-SF Paper Version - Number of People You Live With
	CHSF213		C119156	CHSF2-Live With Spouse or Signif Other	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other?	CHART-SF Paper Version - Live With Spouse or Significant Other
	CHSF214		C119157	CHSF2-Number of Relatives You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives?	CHART-SF Paper Version - Number of Relatives You Live With
	CHSF215		C119158	CHSF2-Associates Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month?	CHART-SF Paper Version - Associates Contacted per Month
	CHSF216		C119159	CHSF2-Friends Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month?	CHART-SF Paper Version - Friends Contacted per Month
	CHSF217		C119160	CHSF2-Strangers Spoke with Last Month	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month?	CHART-SF Paper Version - Initiated Conversation With Strangers Last Month
	CHSF218		C119161	CHSF2-Combined Household Income Last Yr	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household?	CHART-SF Paper Version - Combined Annual Household Income Last Year
	CHSF219		C119162	CHSF2-Medical Care Expenses Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses?	CHART-SF Paper Version - Medical Care Expense Last Year
Back to top
CL.C119067.CHART-SF Paper Version TEST	QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name (CHART-SF Paper Version TEST)	text Extensible: No	C119067	QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name	Craig Handicap Assessment and Reporting Technique - Short Form Paper Version test name.	CDISC Questionnaire CHART-SF Paper Version Test Name Terminology
	CHSF2-Associates Contacted per Month		C119158	CHSF2-Associates Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month?	CHART-SF Paper Version - Associates Contacted per Month
	CHSF2-Away Cognitive Assistance per Day		C119145	CHSF2-Away Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?	CHART-SF Paper Version - Cognitive Assistance Away From Home per Day
	CHSF2-Combined Household Income Last Yr		C119161	CHSF2-Combined Household Income Last Yr	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household?	CHART-SF Paper Version - Combined Annual Household Income Last Year
	CHSF2-Days Out of the House per Week		C119147	CHSF2-Days Out of the House per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere?	CHART-SF Paper Version - Days Out of the House per Week
	CHSF2-Friends Contacted per Month		C119159	CHSF2-Friends Contacted per Month	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month?	CHART-SF Paper Version - Friends Contacted per Month
	CHSF2-Home Cognitive Assistance per Day		C119144	CHSF2-Home Cognitive Assistance per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?	CHART-SF Paper Version - Cognitive Assistance at Home per Day
	CHSF2-Hours of Home Maintenance per Week		C119153	CHSF2-Hours of Home Maintenance per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?	CHART-SF Paper Version - Hours of Home Maintenance per Week
	CHSF2-Hours of Homemaking per Week		C119152	CHSF2-Hours of Homemaking per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?	CHART-SF Paper Version - Hours of Homemaking per Week
	CHSF2-Hours of Paid Work per Week		C119149	CHSF2-Hours of Paid Work per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid?	CHART-SF Paper Version - Hours of Paid Work per Week
	CHSF2-Hours of Recreation per Week		C119154	CHSF2-Hours of Recreation per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?	CHART-SF Paper Version - Hours of Recreational Activities per Week
	CHSF2-Hours of Schoolwork per Week		C119151	CHSF2-Hours of Schoolwork per Week	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?	CHART-SF Paper Version - Hours of Schoolwork per Week
	CHSF2-Hours Out of Bed per Day		C119146	CHSF2-Hours Out of Bed per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed?	CHART-SF Paper Version - Hours Out of Bed per Day
	CHSF2-Live With Spouse or Signif Other		C119156	CHSF2-Live With Spouse or Signif Other	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other?	CHART-SF Paper Version - Live With Spouse or Significant Other
	CHSF2-Medical Care Expenses Last Year		C119162	CHSF2-Medical Care Expenses Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses?	CHART-SF Paper Version - Medical Care Expense Last Year
	CHSF2-Nights Away From Home Last Year		C119148	CHSF2-Nights Away From Home Last Year	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home?	CHART-SF Paper Version - Nights Away From Home Last Year
	CHSF2-Number of People You Live With		C119155	CHSF2-Number of People You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with?	CHART-SF Paper Version - Number of People You Live With
	CHSF2-Number of Relatives You Live With		C119157	CHSF2-Number of Relatives You Live With	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives?	CHART-SF Paper Version - Number of Relatives You Live With
	CHSF2-Occupation of Paid Work		C119150	CHSF2-Occupation of Paid Work	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation).	CHART-SF Paper Version - Occupation of Paid Work
	CHSF2-Paid Personal Care per Day		C119142	CHSF2-Paid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).	CHART-SF Paper Version - Paid Personal Care per Day
	CHSF2-Strangers Spoke with Last Month		C119160	CHSF2-Strangers Spoke with Last Month	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month?	CHART-SF Paper Version - Initiated Conversation With Strangers Last Month
	CHSF2-Unpaid Personal Care per Day		C119143	CHSF2-Unpaid Personal Care per Day	Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).	CHART-SF Paper Version - Unpaid Personal Care per Day
Back to top
CL.C100158.COMM TESTCD	QS-Current Opioid Misuse Measure Test Code (COMM TESTCD)	text Extensible: No	C100158	QS-Current Opioid Misuse Measure Test Code	Current Opioid Misuse Measure test code.	CDISC Questionnaire COMM Test Code Terminology
	COMM101		C100958	COMM1-Trouble Thinking Clearly/Memory	Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?	COMM - Trouble Thinking Clearly or Memory Problems
	COMM102		C100959	COMM1-Complaints Not Completing Tasks	Current Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)	COMM - Complaints Not Completing Tasks
	COMM103		C100960	COMM1-Other Sources For Pain Medication	Current Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)	COMM - Other Sources for Pain Medication
	COMM104		C100961	COMM1-Taken Meds Other Than Prescribed	Current Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?	COMM - Taken Medications Other Than Prescribed
	COMM105		C100962	COMM1-Seriously Thought of Hurting Self	Current Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?	COMM - Seriously Thought of Hurting Self
	COMM106		C100963	COMM1-Time Spent Thinking About Opioids	Current Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?	COMM - Time Spent Thinking About Opioids
	COMM107		C100964	COMM1-Been in an Argument	Current Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?	COMM - Been in an Argument
	COMM108		C100965	COMM1-Trouble Controlling Anger	Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?	COMM - Trouble Controlling Anger
	COMM109		C100966	COMM1-Take Meds Belonging to Others	Current Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?	COMM - Take Medications Belonging to Others
	COMM110		C100967	COMM1-Worry About Handling Meds	Current Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?	COMM - Worry About Handling Medications
	COMM111		C100968	COMM1-Others Worry About Your Meds	Current Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?	COMM - Others Worry About Your Medications
	COMM112		C100969	COMM1-Emergency Phone Call/Clinic Visit	Current Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?	COMM - Emergency Phone Call or Clinic Visit
	COMM113		C100970	COMM1-Gotten Angry With People	Current Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?	COMM - Gotten Angry With People
	COMM114		C100971	COMM1-Take More Meds Than Prescribed	Current Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?	COMM - Take More Medication Than Prescribed
	COMM115		C100972	COMM1-Borrowed Meds From Others	Current Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?	COMM - Borrowed Medication From Others
	COMM116		C100973	COMM1-Used Pain Meds For Other Symptoms	Current Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?	COMM - Used Pain Medicine For Other Symptoms
	COMM117		C100974	COMM1-Visit Emergency Room	Current Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?	COMM - Visit Emergency Room
	COMM118		C100975	COMM1-Score	Current Opioid Misuse Measure - Score.	COMM - Score
Back to top
CL.C100157.COMM TEST	QS-Current Opioid Misuse Measure Test Name (COMM TEST)	text Extensible: No	C100157	QS-Current Opioid Misuse Measure Test Name	Current Opioid Misuse Measure test name.	CDISC Questionnaire COMM Test Name Terminology
	COMM1-Been in an Argument		C100964	COMM1-Been in an Argument	Current Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?	COMM - Been in an Argument
	COMM1-Borrowed Meds From Others		C100972	COMM1-Borrowed Meds From Others	Current Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?	COMM - Borrowed Medication From Others
	COMM1-Complaints Not Completing Tasks		C100959	COMM1-Complaints Not Completing Tasks	Current Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)	COMM - Complaints Not Completing Tasks
	COMM1-Emergency Phone Call/Clinic Visit		C100969	COMM1-Emergency Phone Call/Clinic Visit	Current Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?	COMM - Emergency Phone Call or Clinic Visit
	COMM1-Gotten Angry With People		C100970	COMM1-Gotten Angry With People	Current Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?	COMM - Gotten Angry With People
	COMM1-Other Sources For Pain Medication		C100960	COMM1-Other Sources For Pain Medication	Current Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)	COMM - Other Sources for Pain Medication
	COMM1-Others Worry About Your Meds		C100968	COMM1-Others Worry About Your Meds	Current Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?	COMM - Others Worry About Your Medications
	COMM1-Score		C100975	COMM1-Score	Current Opioid Misuse Measure - Score.	COMM - Score
	COMM1-Seriously Thought of Hurting Self		C100962	COMM1-Seriously Thought of Hurting Self	Current Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?	COMM - Seriously Thought of Hurting Self
	COMM1-Take Meds Belonging to Others		C100966	COMM1-Take Meds Belonging to Others	Current Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?	COMM - Take Medications Belonging to Others
	COMM1-Take More Meds Than Prescribed		C100971	COMM1-Take More Meds Than Prescribed	Current Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?	COMM - Take More Medication Than Prescribed
	COMM1-Taken Meds Other Than Prescribed		C100961	COMM1-Taken Meds Other Than Prescribed	Current Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?	COMM - Taken Medications Other Than Prescribed
	COMM1-Time Spent Thinking About Opioids		C100963	COMM1-Time Spent Thinking About Opioids	Current Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?	COMM - Time Spent Thinking About Opioids
	COMM1-Trouble Controlling Anger		C100965	COMM1-Trouble Controlling Anger	Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?	COMM - Trouble Controlling Anger
	COMM1-Trouble Thinking Clearly/Memory		C100958	COMM1-Trouble Thinking Clearly/Memory	Current Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?	COMM - Trouble Thinking Clearly or Memory Problems
	COMM1-Used Pain Meds For Other Symptoms		C100973	COMM1-Used Pain Meds For Other Symptoms	Current Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?	COMM - Used Pain Medicine For Other Symptoms
	COMM1-Visit Emergency Room		C100974	COMM1-Visit Emergency Room	Current Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?	COMM - Visit Emergency Room
	COMM1-Worry About Handling Meds		C100967	COMM1-Worry About Handling Meds	Current Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?	COMM - Worry About Handling Medications
Back to top
CL.C119070.DLQI TESTCD	QS-Dermatology Life Quality Index Questionnaire Test Code (DLQI TESTCD)	text Extensible: No	C119070	QS-Dermatology Life Quality Index Questionnaire Test Code	Dermatology Life Quality Index test code.	CDISC Questionnaire DLQI Test Code Terminology
	DLQI101		C119163	DLQI1-How Itchy, Sore, Painful, Stinging	Dermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been?	DLQI - Itchy, Sore, Painful or Stinging Skin
	DLQI102		C119164	DLQI1-How Embarrassed, Self Conscious	Dermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin?	DLQI - Embarrassed Because of Skin
	DLQI103		C119165	DLQI1-Interfered Shopping, Home, Yard	Dermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard?	DLQI - Skin Interfere With Shopping, Looking After Home or Yard
	DLQI104		C119166	DLQI1-Influenced Clothes You Wear	Dermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear?	DLQI - Skin Influence Clothes You Wear
	DLQI105		C119167	DLQI1-Affected Social, Leisure Activity	Dermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities?	DLQI - Skin Affect Social or Leisure Activities
	DLQI106		C119168	DLQI1-Made It Difficult to Do Any Sports	Dermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport?	DLQI - Skin Made Difficult to Do Sport
	DLQI107		C119169	DLQI1-Prevented Working or Studying	Dermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying?	DLQI - Skin Prevent Work or Study
	DLQI107A		C119170	DLQI1-Problem at Work or Studying	Dermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying?	DLQI - Skin Has Been a Problem at Work or Study
	DLQI108		C119171	DLQI1-Problem Partner, Friends, Relative	Dermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives?	DLQI - Skin Create Problem With Partner, Friends or Relatives
	DLQI109		C119172	DLQI1-Caused Any Sexual Difficulties	Dermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties?	DLQI - Skin Cause Sexual Difficulties
	DLQI110		C119173	DLQI1-How Much a Problem is Treatment	Dermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?	DLQI - Treatment for Skin Make Home Messy
	DLQI111		C119174	DLQI-Score	Dermatology Life Quality Index - Score.	DLQI - Score
Back to top
CL.C119069.DLQI TEST	QS-Dermatology Life Quality Index Questionnaire Test Name (DLQI TEST)	text Extensible: No	C119069	QS-Dermatology Life Quality Index Questionnaire Test Name	Dermatology Life Quality Index test name.	CDISC Questionnaire DLQI Test Name Terminology
	DLQI-Score		C119174	DLQI-Score	Dermatology Life Quality Index - Score.	DLQI - Score
	DLQI1-Affected Social, Leisure Activity		C119167	DLQI1-Affected Social, Leisure Activity	Dermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities?	DLQI - Skin Affect Social or Leisure Activities
	DLQI1-Caused Any Sexual Difficulties		C119172	DLQI1-Caused Any Sexual Difficulties	Dermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties?	DLQI - Skin Cause Sexual Difficulties
	DLQI1-How Embarrassed, Self Conscious		C119164	DLQI1-How Embarrassed, Self Conscious	Dermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin?	DLQI - Embarrassed Because of Skin
	DLQI1-How Itchy, Sore, Painful, Stinging		C119163	DLQI1-How Itchy, Sore, Painful, Stinging	Dermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been?	DLQI - Itchy, Sore, Painful or Stinging Skin
	DLQI1-How Much a Problem is Treatment		C119173	DLQI1-How Much a Problem is Treatment	Dermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?	DLQI - Treatment for Skin Make Home Messy
	DLQI1-Influenced Clothes You Wear		C119166	DLQI1-Influenced Clothes You Wear	Dermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear?	DLQI - Skin Influence Clothes You Wear
	DLQI1-Interfered Shopping, Home, Yard		C119165	DLQI1-Interfered Shopping, Home, Yard	Dermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard?	DLQI - Skin Interfere With Shopping, Looking After Home or Yard
	DLQI1-Made It Difficult to Do Any Sports		C119168	DLQI1-Made It Difficult to Do Any Sports	Dermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport?	DLQI - Skin Made Difficult to Do Sport
	DLQI1-Prevented Working or Studying		C119169	DLQI1-Prevented Working or Studying	Dermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying?	DLQI - Skin Prevent Work or Study
	DLQI1-Problem at Work or Studying		C119170	DLQI1-Problem at Work or Studying	Dermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying?	DLQI - Skin Has Been a Problem at Work or Study
	DLQI1-Problem Partner, Friends, Relative		C119171	DLQI1-Problem Partner, Friends, Relative	Dermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives?	DLQI - Skin Create Problem With Partner, Friends or Relatives
Back to top
CL.C105130.DAD TESTCD	QS-Disability Assessment for Dementia Questionnaire Test Code (DAD TESTCD)	text Extensible: No	C105130	QS-Disability Assessment for Dementia Questionnaire Test Code	Disability Assessment for Dementia test code.	CDISC Questionnaire DAD Test Code Terminology
	DAD0101		C105170	DAD01-Decide to Wash	Disability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?	DAD - Decide to Wash or Take a Bath or Shower
	DAD0102		C105171	DAD01-Decide to Brush Teeth Dentures	Disability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?	DAD - Decide to Brush Teeth or Care for Dentures
	DAD0103		C105172	DAD01-Decide to Care For Hair	Disability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?	DAD - Decide to Care for His/Her Hair
	DAD0104		C105173	DAD01-Prepare For Washing Bath Shower	Disability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?	DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
	DAD0105		C105174	DAD01-Wash and Dry Body Safely	Disability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?	DAD - Wash and Dry All Parts of Body Safely and Completely
	DAD0106		C105175	DAD01-Brush Teeth Take Care of Dentures	Disability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?	DAD - Brush Teeth or Take Care of Dentures Appropriately
	DAD0107		C105176	DAD01-Take Care of Hair	Disability Assessment for Dementia - Take care of his/her hair (wash and comb)?	DAD - Take Care of His/Her Hair
	DAD0108		C105177	DAD01-Decide to Dress	Disability Assessment for Dementia - Decide to dress himself/herself?	DAD - Decide to Dress Himself/Herself
	DAD0109		C105178	DAD01-Choose Appropriate Clothing	Disability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?	DAD - Choose Appropriate Clothing
	DAD0110		C105179	DAD01-Dress in Appropriate Order	Disability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?	DAD - Dress in the Appropriate Order
	DAD0111		C105180	DAD01-Dress Completely	Disability Assessment for Dementia - Dress himself/herself completely?	DAD - Dress Himself/Herself Completely
	DAD0112		C105181	DAD01-Undress Completely	Disability Assessment for Dementia - Undress himself/herself completely?	DAD - Undress Himself/Herself Completely
	DAD0113		C105182	DAD01-Use Toilet at Appropriate Times	Disability Assessment for Dementia - Decide to use the toilet at appropriate times?	DAD - Decide to Use the Toilet at Appropriate Times
	DAD0114		C105183	DAD01-Use Toilet Without Accidents	Disability Assessment for Dementia - Use the toilet without 'accidents'?	DAD - Use the Toilet Without Accidents
	DAD0115		C105184	DAD01-Decide That He/She Needs to Eat	Disability Assessment for Dementia - Decide that he/she needs to eat?	DAD - Decide That He/She Needs to Eat
	DAD0116		C105185	DAD01-Choose Appropriate Utensils	Disability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?	DAD - Choose Appropriate Utensils and Seasonings When Eating
	DAD0117		C105186	DAD01-Eat at Normal Pace With Manners	Disability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?	DAD - Eat Meals at a Normal Pace and with Appropriate Manners
	DAD0118		C105187	DAD01-Decide to Prepare Meal Snack	Disability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?	DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
	DAD0119		C105188	DAD01-Adequately Plan Light Meal Snack	Disability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?	DAD - Adequately Plan a Light Meal or Snack
	DAD0120		C105189	DAD01-Prepare or Cook Light Meal Snack	Disability Assessment for Dementia - Prepare or cook a light meal or a snack safely?	DAD - Safely Prepare or Cook a Light Meal or Snack
	DAD0121		C105190	DAD01-Telephone Someone at Suitable Time	Disability Assessment for Dementia - Attempt to telephone someone at a suitable time?	DAD - Attempt to Telephone Someone at a Suitable Time
	DAD0122		C105191	DAD01-Find and Dial Telephone Number	Disability Assessment for Dementia - Find and dial a telephone number correctly?	DAD - Find and Dial a Telephone Number Correctly
	DAD0123		C105192	DAD01-Carry Out Telephone Conversation	Disability Assessment for Dementia - Carry out an appropriate telephone conversation?	DAD - Carry Out an Appropriate Telephone Conversation
	DAD0124		C105193	DAD01-Write Convey Telephone Message	Disability Assessment for Dementia - Write and convey a telephone message adequately?	DAD - Write and Convey a Telephone Message Adequately
	DAD0125		C105194	DAD01-Decide to Go Out	Disability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?	DAD - Decide to Go Out at an Appropriate Time
	DAD0126		C105195	DAD01-Adequately Organize an Outing	Disability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?	DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
	DAD0127		C105196	DAD01-Go Out Without Getting Lost	Disability Assessment for Dementia - Go out and reach a familiar destination without getting lost?	DAD - Go Out and Reach a Familiar Destination Without Getting Lost
	DAD0128		C105197	DAD01-Safely Take Transportation	Disability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?	DAD - Safely Take the Adequate Mode of Transportation
	DAD0129		C105198	DAD01-Return From Store With Items	Disability Assessment for Dementia - Return from the store with the appropriate items?	DAD - Return From the Store with Appropriate Items
	DAD0130		C105199	DAD01-Show Interest in Personal Affairs	Disability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?	DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
	DAD0131		C105200	DAD01-Oragnize Finances to Pay Bills	Disability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?	DAD - Organize Finances to Pay Bills
	DAD0132		C105201	DAD01-Adequately Organize Correspondence	Disability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?	DAD - Adequately Organize Correspondence
	DAD0133		C105202	DAD01-Handle Money Adequately	Disability Assessment for Dementia - Handle his/her money adequately (deal with cash)?	DAD - Handle Money Adequately
	DAD0134		C105203	DAD01-Take Medications at Correct Time	Disability Assessment for Dementia - Decide to take his/her medications at the correct time?	DAD - Decide to Take Medications at the Correct Time
	DAD0135		C105204	DAD01-Take Medications as Prescribed	Disability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?	DAD - Take Medications as Prescribed
	DAD0136		C105205	DAD01-Show Interest in Leisure Activity	Disability Assessment for Dementia - Show an interest in leisure activity(ies)?	DAD - Show an Interest in Leisure Activities
	DAD0137		C105206	DAD01-Take Interest in Household Chores	Disability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?	DAD - Take an Interest in Household Chores as in the Past
	DAD0138		C105207	DAD01-Plan Organize Household Chores	Disability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?	DAD - Plan and Organize Adequately Household Chores as in the Past
	DAD0139		C105208	DAD01-Complete Household Chores	Disability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?	DAD - Complete Household Chores Adequately as in the Past
	DAD0140		C105209	DAD01-Stay Safely at Home When Needed	Disability Assessment for Dementia - Stay safely at home by himself/herself when needed?	DAD - Stay Safely at Home When Needed
	DAD0141		C111577	DAD01-Sub-Total Initiation	Disability Assessment for Dementia - Sub-Total Initiation.	DAD - Sub-Total Initiation
	DAD0142		C111578	DAD01-Initiation Num Applic Items	Disability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.	DAD - Total Initiation Number of Applicable Items
	DAD0143		C111579	DAD01-Sub-Total Planning & Organization	Disability Assessment for Dementia - Sub-Total Planning & Organization.	DAD - Sub-Total Planning and Organization
	DAD0144		C111617	DAD01-Plan & Org Num Applic Items	Disability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.	DAD - Plan and Organize Number of Applicable Items
	DAD0145		C111580	DAD01-Sub-Total Effective Performance	Disability Assessment for Dementia - Sub-Total Effective Performance.	DAD - Sub-Total Effective Performance
	DAD0146		C111581	DAD01-Effective Perf Num Applic Items	Disability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.	DAD - Sub-Total Effective Performance Number of Applicable Items
	DAD0147		C111582	DAD01-Total Score	Disability Assessment for Dementia - Total Score.	DAD - Total Score
	DAD0148		C111583	DAD01-Total Num of Applic Items	Disability Assessment for Dementia - Total Number of Applicable Items.	DAD - Total Number of Applicable Items
	DAD0149		C111584	DAD01-Total %	Disability Assessment for Dementia - Total %.	DAD - Total Percent
Back to top
CL.C105129.DAD TEST	QS-Disability Assessment for Dementia Questionnaire Test Name (DAD TEST)	text Extensible: No	C105129	QS-Disability Assessment for Dementia Questionnaire Test Name	Disability Assessment for Dementia test name.	CDISC Questionnaire DAD Test Name Terminology
	DAD01-Adequately Organize an Outing		C105195	DAD01-Adequately Organize an Outing	Disability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?	DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
	DAD01-Adequately Organize Correspondence		C105201	DAD01-Adequately Organize Correspondence	Disability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?	DAD - Adequately Organize Correspondence
	DAD01-Adequately Plan Light Meal Snack		C105188	DAD01-Adequately Plan Light Meal Snack	Disability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?	DAD - Adequately Plan a Light Meal or Snack
	DAD01-Brush Teeth Take Care of Dentures		C105175	DAD01-Brush Teeth Take Care of Dentures	Disability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?	DAD - Brush Teeth or Take Care of Dentures Appropriately
	DAD01-Carry Out Telephone Conversation		C105192	DAD01-Carry Out Telephone Conversation	Disability Assessment for Dementia - Carry out an appropriate telephone conversation?	DAD - Carry Out an Appropriate Telephone Conversation
	DAD01-Choose Appropriate Clothing		C105178	DAD01-Choose Appropriate Clothing	Disability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?	DAD - Choose Appropriate Clothing
	DAD01-Choose Appropriate Utensils		C105185	DAD01-Choose Appropriate Utensils	Disability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?	DAD - Choose Appropriate Utensils and Seasonings When Eating
	DAD01-Complete Household Chores		C105208	DAD01-Complete Household Chores	Disability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?	DAD - Complete Household Chores Adequately as in the Past
	DAD01-Decide That He/She Needs to Eat		C105184	DAD01-Decide That He/She Needs to Eat	Disability Assessment for Dementia - Decide that he/she needs to eat?	DAD - Decide That He/She Needs to Eat
	DAD01-Decide to Brush Teeth Dentures		C105171	DAD01-Decide to Brush Teeth Dentures	Disability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?	DAD - Decide to Brush Teeth or Care for Dentures
	DAD01-Decide to Care For Hair		C105172	DAD01-Decide to Care For Hair	Disability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?	DAD - Decide to Care for His/Her Hair
	DAD01-Decide to Dress		C105177	DAD01-Decide to Dress	Disability Assessment for Dementia - Decide to dress himself/herself?	DAD - Decide to Dress Himself/Herself
	DAD01-Decide to Go Out		C105194	DAD01-Decide to Go Out	Disability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?	DAD - Decide to Go Out at an Appropriate Time
	DAD01-Decide to Prepare Meal Snack		C105187	DAD01-Decide to Prepare Meal Snack	Disability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?	DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
	DAD01-Decide to Wash		C105170	DAD01-Decide to Wash	Disability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?	DAD - Decide to Wash or Take a Bath or Shower
	DAD01-Dress Completely		C105180	DAD01-Dress Completely	Disability Assessment for Dementia - Dress himself/herself completely?	DAD - Dress Himself/Herself Completely
	DAD01-Dress in Appropriate Order		C105179	DAD01-Dress in Appropriate Order	Disability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?	DAD - Dress in the Appropriate Order
	DAD01-Eat at Normal Pace With Manners		C105186	DAD01-Eat at Normal Pace With Manners	Disability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?	DAD - Eat Meals at a Normal Pace and with Appropriate Manners
	DAD01-Effective Perf Num Applic Items		C111581	DAD01-Effective Perf Num Applic Items	Disability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.	DAD - Sub-Total Effective Performance Number of Applicable Items
	DAD01-Find and Dial Telephone Number		C105191	DAD01-Find and Dial Telephone Number	Disability Assessment for Dementia - Find and dial a telephone number correctly?	DAD - Find and Dial a Telephone Number Correctly
	DAD01-Go Out Without Getting Lost		C105196	DAD01-Go Out Without Getting Lost	Disability Assessment for Dementia - Go out and reach a familiar destination without getting lost?	DAD - Go Out and Reach a Familiar Destination Without Getting Lost
	DAD01-Handle Money Adequately		C105202	DAD01-Handle Money Adequately	Disability Assessment for Dementia - Handle his/her money adequately (deal with cash)?	DAD - Handle Money Adequately
	DAD01-Initiation Num Applic Items		C111578	DAD01-Initiation Num Applic Items	Disability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.	DAD - Total Initiation Number of Applicable Items
	DAD01-Oragnize Finances to Pay Bills		C105200	DAD01-Oragnize Finances to Pay Bills	Disability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?	DAD - Organize Finances to Pay Bills
	DAD01-Plan & Org Num Applic Items		C111617	DAD01-Plan & Org Num Applic Items	Disability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.	DAD - Plan and Organize Number of Applicable Items
	DAD01-Plan Organize Household Chores		C105207	DAD01-Plan Organize Household Chores	Disability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?	DAD - Plan and Organize Adequately Household Chores as in the Past
	DAD01-Prepare For Washing Bath Shower		C105173	DAD01-Prepare For Washing Bath Shower	Disability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?	DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
	DAD01-Prepare or Cook Light Meal Snack		C105189	DAD01-Prepare or Cook Light Meal Snack	Disability Assessment for Dementia - Prepare or cook a light meal or a snack safely?	DAD - Safely Prepare or Cook a Light Meal or Snack
	DAD01-Return From Store With Items		C105198	DAD01-Return From Store With Items	Disability Assessment for Dementia - Return from the store with the appropriate items?	DAD - Return From the Store with Appropriate Items
	DAD01-Safely Take Transportation		C105197	DAD01-Safely Take Transportation	Disability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?	DAD - Safely Take the Adequate Mode of Transportation
	DAD01-Show Interest in Leisure Activity		C105205	DAD01-Show Interest in Leisure Activity	Disability Assessment for Dementia - Show an interest in leisure activity(ies)?	DAD - Show an Interest in Leisure Activities
	DAD01-Show Interest in Personal Affairs		C105199	DAD01-Show Interest in Personal Affairs	Disability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?	DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
	DAD01-Stay Safely at Home When Needed		C105209	DAD01-Stay Safely at Home When Needed	Disability Assessment for Dementia - Stay safely at home by himself/herself when needed?	DAD - Stay Safely at Home When Needed
	DAD01-Sub-Total Effective Performance		C111580	DAD01-Sub-Total Effective Performance	Disability Assessment for Dementia - Sub-Total Effective Performance.	DAD - Sub-Total Effective Performance
	DAD01-Sub-Total Initiation		C111577	DAD01-Sub-Total Initiation	Disability Assessment for Dementia - Sub-Total Initiation.	DAD - Sub-Total Initiation
	DAD01-Sub-Total Planning & Organization		C111579	DAD01-Sub-Total Planning & Organization	Disability Assessment for Dementia - Sub-Total Planning & Organization.	DAD - Sub-Total Planning and Organization
	DAD01-Take Care of Hair		C105176	DAD01-Take Care of Hair	Disability Assessment for Dementia - Take care of his/her hair (wash and comb)?	DAD - Take Care of His/Her Hair
	DAD01-Take Interest in Household Chores		C105206	DAD01-Take Interest in Household Chores	Disability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?	DAD - Take an Interest in Household Chores as in the Past
	DAD01-Take Medications as Prescribed		C105204	DAD01-Take Medications as Prescribed	Disability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?	DAD - Take Medications as Prescribed
	DAD01-Take Medications at Correct Time		C105203	DAD01-Take Medications at Correct Time	Disability Assessment for Dementia - Decide to take his/her medications at the correct time?	DAD - Decide to Take Medications at the Correct Time
	DAD01-Telephone Someone at Suitable Time		C105190	DAD01-Telephone Someone at Suitable Time	Disability Assessment for Dementia - Attempt to telephone someone at a suitable time?	DAD - Attempt to Telephone Someone at a Suitable Time
	DAD01-Total %		C111584	DAD01-Total %	Disability Assessment for Dementia - Total %.	DAD - Total Percent
	DAD01-Total Num of Applic Items		C111583	DAD01-Total Num of Applic Items	Disability Assessment for Dementia - Total Number of Applicable Items.	DAD - Total Number of Applicable Items
	DAD01-Total Score		C111582	DAD01-Total Score	Disability Assessment for Dementia - Total Score.	DAD - Total Score
	DAD01-Undress Completely		C105181	DAD01-Undress Completely	Disability Assessment for Dementia - Undress himself/herself completely?	DAD - Undress Himself/Herself Completely
	DAD01-Use Toilet at Appropriate Times		C105182	DAD01-Use Toilet at Appropriate Times	Disability Assessment for Dementia - Decide to use the toilet at appropriate times?	DAD - Decide to Use the Toilet at Appropriate Times
	DAD01-Use Toilet Without Accidents		C105183	DAD01-Use Toilet Without Accidents	Disability Assessment for Dementia - Use the toilet without 'accidents'?	DAD - Use the Toilet Without Accidents
	DAD01-Wash and Dry Body Safely		C105174	DAD01-Wash and Dry Body Safely	Disability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?	DAD - Wash and Dry All Parts of Body Safely and Completely
	DAD01-Write Convey Telephone Message		C105193	DAD01-Write Convey Telephone Message	Disability Assessment for Dementia - Write and convey a telephone message adequately?	DAD - Write and Convey a Telephone Message Adequately
Back to top
CL.C115402.DRS TESTCD	QS-Disability Rating Scale Questionnaire Test Code (DRS TESTCD)	text Extensible: No	C115402	QS-Disability Rating Scale Questionnaire Test Code	Disability Rating Scale test code.	CDISC Questionnaire DRS Test Code Terminology
	DRS0101		C115820	DRS01-Eye Opening	Disability Rating Scale - Eye opening.	DRS - Eye Opening
	DRS0102		C115821	DRS01-Communication Ability	Disability Rating Scale - Communication ability.	DRS - Communication Ability
	DRS0103		C115822	DRS01-Motor Response	Disability Rating Scale - Motor response.	DRS - Motor Response
	DRS0104		C115823	DRS01-Feeding	Disability Rating Scale - Feeding (cognitive ability only).	DRS - Feeding
	DRS0105		C115824	DRS01-Toileting	Disability Rating Scale - Toileting (cognitive ability only).	DRS - Toileting
	DRS0106		C115825	DRS01-Grooming	Disability Rating Scale - Grooming (cognitive ability only).	DRS - Grooming
	DRS0107		C115826	DRS01-Level of Functioning	Disability Rating Scale - Level of functioning (physical, mental, emotional or social function).	DRS - Level of Functioning
	DRS0108		C115827	DRS01-Employability	Disability Rating Scale - Employability (as a full time worker, homemaker, or student).	DRS - Employability
Back to top
CL.C115401.DRS TEST	QS-Disability Rating Scale Questionnaire Test Name (DRS TEST)	text Extensible: No	C115401	QS-Disability Rating Scale Questionnaire Test Name	Disability Rating Scale test name.	CDISC Questionnaire DRS Test Name Terminology
	DRS01-Communication Ability		C115821	DRS01-Communication Ability	Disability Rating Scale - Communication ability.	DRS - Communication Ability
	DRS01-Employability		C115827	DRS01-Employability	Disability Rating Scale - Employability (as a full time worker, homemaker, or student).	DRS - Employability
	DRS01-Eye Opening		C115820	DRS01-Eye Opening	Disability Rating Scale - Eye opening.	DRS - Eye Opening
	DRS01-Feeding		C115823	DRS01-Feeding	Disability Rating Scale - Feeding (cognitive ability only).	DRS - Feeding
	DRS01-Grooming		C115825	DRS01-Grooming	Disability Rating Scale - Grooming (cognitive ability only).	DRS - Grooming
	DRS01-Level of Functioning		C115826	DRS01-Level of Functioning	Disability Rating Scale - Level of functioning (physical, mental, emotional or social function).	DRS - Level of Functioning
	DRS01-Motor Response		C115822	DRS01-Motor Response	Disability Rating Scale - Motor response.	DRS - Motor Response
	DRS01-Toileting		C115824	DRS01-Toileting	Disability Rating Scale - Toileting (cognitive ability only).	DRS - Toileting
Back to top
CL.C112437.Disease Steps TESTCD	QS-Disease Steps Questionnaire Test Code (Disease Steps TESTCD)	text Extensible: No	C112437	QS-Disease Steps Questionnaire Test Code	Disease Steps test code.	CDISC Questionnaire DS Test Code Terminology
	DS0101		C112549	DS01-Disease Steps Classification	Disease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.	DS - Disease Steps Classification
Back to top
CL.C112436.Disease Steps TEST	QS-Disease Steps Questionnaire Test Name (Disease Steps TEST)	text Extensible: No	C112436	QS-Disease Steps Questionnaire Test Name	Disease Steps test name.	CDISC Questionnaire DS Test Name Terminology
	DS01-Disease Steps Classification		C112549	DS01-Disease Steps Classification	Disease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.	DS - Disease Steps Classification
Back to top
CL.C101815.ECOG TESTCD	QS-Eastern Cooperative Oncology Group Performance Status Test Code (ECOG TESTCD)	text Extensible: No	C101815	QS-Eastern Cooperative Oncology Group Performance Status Test Code	Eastern Cooperative Oncology Group Performance Status test code.	CDISC Questionnaire ECOG Test Code Terminology
	ECOG101		C102408	ECOG1-Performance Status	ECOG Performance Status - Performance Status.	ECOG - Performance Status
Back to top
CL.C101816.ECOG TEST	QS-Eastern Cooperative Oncology Group Performance Status Test Name (ECOG TEST)	text Extensible: No	C101816	QS-Eastern Cooperative Oncology Group Performance Status Test Name	Eastern Cooperative Oncology Group Performance Status test name.	CDISC Questionnaire ECOG Test Name Terminology
	ECOG1-Performance Status		C102408	ECOG1-Performance Status	ECOG Performance Status - Performance Status.	ECOG - Performance Status
Back to top
CL.C103463.ESS TESTCD	QS-Epworth Sleepiness Scale Questionnaire Test Code (ESS TESTCD)	text Extensible: No	C103463	QS-Epworth Sleepiness Scale Questionnaire Test Code	Epworth Sleepiness Scale test code.	CDISC Questionnaire ESS Test Code Terminology
	ESS0101		C103536	ESS01-Sitting and Reading	Epworth Sleepiness Scale - Sitting and reading.	ESS - Sitting and Reading
	ESS0102		C103537	ESS01-Watching TV	Epworth Sleepiness Scale - Watching TV.	ESS - Watching TV
	ESS0103		C103538	ESS01-Sitting Inactive in a Public Place	Epworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).	ESS - Sitting, Inactive in a Public Place
	ESS0104		C103539	ESS01-Passenger for Hour Without Break	Epworth Sleepiness Scale - As a passenger in a car for an hour without a break.	ESS - As a Passenger in a Car for an Hour Without a Break
	ESS0105		C103540	ESS01-Lying Down to Rest In Afternoon	Epworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.	ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
	ESS0106		C103541	ESS01-Sitting and Talking to Someone	Epworth Sleepiness Scale - Sitting and talking to someone.	ESS - Sitting and Talking to Someone
	ESS0107		C103542	ESS01-Sitting Quietly After Lunch	Epworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.	ESS - Sitting Quietly After a Lunch without Alcohol
	ESS0108		C103543	ESS01-In Car Stopped Few Minutes Traffic	Epworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.	ESS - In a car, While Stopped for a Few Minutes in the Traffic
Back to top
CL.C103462.ESS TEST	QS-Epworth Sleepiness Scale Questionnaire Test Name (ESS TEST)	text Extensible: No	C103462	QS-Epworth Sleepiness Scale Questionnaire Test Name	Epworth Sleepiness Scale test name.	CDISC Questionnaire ESS Test Name Terminology
	ESS01-In Car Stopped Few Minutes Traffic		C103543	ESS01-In Car Stopped Few Minutes Traffic	Epworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.	ESS - In a car, While Stopped for a Few Minutes in the Traffic
	ESS01-Lying Down to Rest In Afternoon		C103540	ESS01-Lying Down to Rest In Afternoon	Epworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.	ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
	ESS01-Passenger for Hour Without Break		C103539	ESS01-Passenger for Hour Without Break	Epworth Sleepiness Scale - As a passenger in a car for an hour without a break.	ESS - As a Passenger in a Car for an Hour Without a Break
	ESS01-Sitting and Reading		C103536	ESS01-Sitting and Reading	Epworth Sleepiness Scale - Sitting and reading.	ESS - Sitting and Reading
	ESS01-Sitting and Talking to Someone		C103541	ESS01-Sitting and Talking to Someone	Epworth Sleepiness Scale - Sitting and talking to someone.	ESS - Sitting and Talking to Someone
	ESS01-Sitting Inactive in a Public Place		C103538	ESS01-Sitting Inactive in a Public Place	Epworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).	ESS - Sitting, Inactive in a Public Place
	ESS01-Sitting Quietly After Lunch		C103542	ESS01-Sitting Quietly After Lunch	Epworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.	ESS - Sitting Quietly After a Lunch without Alcohol
	ESS01-Watching TV		C103537	ESS01-Watching TV	Epworth Sleepiness Scale - Watching TV.	ESS - Watching TV
Back to top
CL.C101817.EQ-5D-5L TESTCD	QS-European Quality of Life Five Dimension Five Level Scale Test Code (EQ-5D-5L TESTCD)	text Extensible: No	C101817	QS-European Quality of Life Five Dimension Five Level Scale Test Code	European Quality of Life Five Dimension Three Level Scale test code.	CDISC Questionnaire EQ-5D-5L Test Code Terminology
	EQ5D0201		C102067	EQ5D02-Mobility	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.	EQ-5D-5L - Mobility
	EQ5D0202		C102068	EQ5D02-Self-Care	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.	EQ-5D-5L - Self-Care
	EQ5D0203		C102069	EQ5D02-Usual Activities	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.	EQ-5D-5L - Usual Activities
	EQ5D0204		C102070	EQ5D02-Pain/Discomfort	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.	EQ-5D-5L - Pain or Discomfort
	EQ5D0205		C102071	EQ5D02-Anxiety/Depression	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.	EQ-5D-5L - Anxiety or Depression
	EQ5D0206		C102072	EQ5D02-EQ VAS Score	European Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.	EQ-5D-5L - EQ VAS Score
Back to top
CL.C101818.EQ-5D-5L TEST	QS-European Quality of Life Five Dimension Five Level Scale Test Name (EQ-5D-5L TEST)	text Extensible: No	C101818	QS-European Quality of Life Five Dimension Five Level Scale Test Name	European Quality of Life Five Dimension Five Level Scale test name.	CDISC Questionnaire EQ-5D-5L Test Name Terminology
	EQ5D02-Anxiety/Depression		C102071	EQ5D02-Anxiety/Depression	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.	EQ-5D-5L - Anxiety or Depression
	EQ5D02-EQ VAS Score		C102072	EQ5D02-EQ VAS Score	European Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.	EQ-5D-5L - EQ VAS Score
	EQ5D02-Mobility		C102067	EQ5D02-Mobility	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.	EQ-5D-5L - Mobility
	EQ5D02-Pain/Discomfort		C102070	EQ5D02-Pain/Discomfort	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.	EQ-5D-5L - Pain or Discomfort
	EQ5D02-Self-Care		C102068	EQ5D02-Self-Care	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.	EQ-5D-5L - Self-Care
	EQ5D02-Usual Activities		C102069	EQ5D02-Usual Activities	European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.	EQ-5D-5L - Usual Activities
Back to top
CL.C100136.EQ-5D-3L TESTCD	QS-European Quality of Life Five Dimension Three Level Scale Test Code (EQ-5D-3L TESTCD)	text Extensible: No	C100136	QS-European Quality of Life Five Dimension Three Level Scale Test Code	European Quality of Life Five Dimension Five Level Scale test code.	CDISC Questionnaire EQ-5D-3L Test Code Terminology
	EQ5D0101		C100392	EQ5D01-Mobility	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.	EQ-5D-3L - Mobility
	EQ5D0102		C100393	EQ5D01-Self-Care	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.	EQ-5D-3L - Self-Care
	EQ5D0103		C100394	EQ5D01-Usual Activities	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.	EQ-5D-3L - Usual Activities
	EQ5D0104		C100395	EQ5D01-Pain/Discomfort	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.	EQ-5D-3L - Pain or Discomfort
	EQ5D0105		C100396	EQ5D01-Anxiety/Depression	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.	EQ-5D-3L - Anxiety or Depression
	EQ5D0106		C100397	EQ5D01-EQ VAS Score	European Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.	EQ-5D-3L - EQ VAS Score
Back to top
CL.C100135.EQ-5D-3L TEST	QS-European Quality of Life Five Dimension Three Level Scale Test Name (EQ-5D-3L TEST)	text Extensible: No	C100135	QS-European Quality of Life Five Dimension Three Level Scale Test Name	European Quality of Life Five Dimension Three Level Scale test name.	CDISC Questionnaire EQ-5D-3L Test Name Terminology
	EQ5D01-Anxiety/Depression		C100396	EQ5D01-Anxiety/Depression	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.	EQ-5D-3L - Anxiety or Depression
	EQ5D01-EQ VAS Score		C100397	EQ5D01-EQ VAS Score	European Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.	EQ-5D-3L - EQ VAS Score
	EQ5D01-Mobility		C100392	EQ5D01-Mobility	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.	EQ-5D-3L - Mobility
	EQ5D01-Pain/Discomfort		C100395	EQ5D01-Pain/Discomfort	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.	EQ-5D-3L - Pain or Discomfort
	EQ5D01-Self-Care		C100393	EQ5D01-Self-Care	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.	EQ-5D-3L - Self-Care
	EQ5D01-Usual Activities		C100394	EQ5D01-Usual Activities	European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.	EQ-5D-3L - Usual Activities
Back to top
CL.C123653.EXACT TESTCD	QS-Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Test Code (EXACT TESTCD)	text Extensible: No	C123653	QS-Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Test Code	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome test code.	CDISC Questionnaire EXACT Test Code Terminology
	EXACT101		C123669	EXACT1-Chest Feel Congested	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel congested today?	EXACT - Chest Feel Congested
	EXACT102		C123670	EXACT1-How Often Cough	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How often did you cough today?	EXACT - How Often Cough Today
	EXACT103		C123671	EXACT1-Bring Up Mucus When Coughing	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How much mucus (phlegm) did you bring up when coughing today?	EXACT - Bring Up Mucus When Coughing
	EXACT104		C123672	EXACT1-Difficult to Bring Up Mucus	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How difficult was it to bring up mucus (phlegm) today?	EXACT - Difficult to Bring Up Mucus
	EXACT105		C123673	EXACT1-Chest Discomfort	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did you have chest discomfort today?	EXACT - Have Chest Discomfort
	EXACT106		C123674	EXACT1-Chest Feel Tight	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel tight today?	EXACT - Chest Feel Tight
	EXACT107		C123675	EXACT1-Breathless	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you breathless today?	EXACT - Were You Breathless
	EXACT108		C123676	EXACT1-Describe How Breathless	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Describe how breathless you were today.	EXACT - Describe How Breathless
	EXACT109		C123677	EXACT1-Short Breath Personal Care	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual personal care activities like washing or dressing?	EXACT - Short of Breath When Performing Usual Personal Care
	EXACT110		C123678	EXACT1-Short Breath Indoor Activities	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual indoor activities like cleaning or household work?	EXACT - Short of Breath When Performing Usual Indoor Activities
	EXACT111		C123679	EXACT1-Short Breath Outside Activities	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual activities outside the home such as yard work or errands?	EXACT - Short of Breath When Performing Usual Activities Outside
	EXACT112		C123680	EXACT1-Tired or Weak	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you tired or weak today?	EXACT - Tired or Weak
	EXACT113		C123681	EXACT1-Night Sleep Disturbed	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Last night, was your sleep disturbed?	EXACT - Night Sleep Disturbed
	EXACT114		C123682	EXACT1-Worried About Lung Problems	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How scared or worried were you about your lung problems today?	EXACT - Worried About Lung Problems
Back to top
CL.C123652.EXACT TEST	QS-Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Test Name (EXACT TEST)	text Extensible: No	C123652	QS-Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Test Name	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome test name.	CDISC Questionnaire EXACT Test Name Terminology
	EXACT1-Breathless		C123675	EXACT1-Breathless	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you breathless today?	EXACT - Were You Breathless
	EXACT1-Bring Up Mucus When Coughing		C123671	EXACT1-Bring Up Mucus When Coughing	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How much mucus (phlegm) did you bring up when coughing today?	EXACT - Bring Up Mucus When Coughing
	EXACT1-Chest Discomfort		C123673	EXACT1-Chest Discomfort	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did you have chest discomfort today?	EXACT - Have Chest Discomfort
	EXACT1-Chest Feel Congested		C123669	EXACT1-Chest Feel Congested	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel congested today?	EXACT - Chest Feel Congested
	EXACT1-Chest Feel Tight		C123674	EXACT1-Chest Feel Tight	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel tight today?	EXACT - Chest Feel Tight
	EXACT1-Describe How Breathless		C123676	EXACT1-Describe How Breathless	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Describe how breathless you were today.	EXACT - Describe How Breathless
	EXACT1-Difficult to Bring Up Mucus		C123672	EXACT1-Difficult to Bring Up Mucus	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How difficult was it to bring up mucus (phlegm) today?	EXACT - Difficult to Bring Up Mucus
	EXACT1-How Often Cough		C123670	EXACT1-How Often Cough	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How often did you cough today?	EXACT - How Often Cough Today
	EXACT1-Night Sleep Disturbed		C123681	EXACT1-Night Sleep Disturbed	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Last night, was your sleep disturbed?	EXACT - Night Sleep Disturbed
	EXACT1-Short Breath Indoor Activities		C123678	EXACT1-Short Breath Indoor Activities	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual indoor activities like cleaning or household work?	EXACT - Short of Breath When Performing Usual Indoor Activities
	EXACT1-Short Breath Outside Activities		C123679	EXACT1-Short Breath Outside Activities	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual activities outside the home such as yard work or errands?	EXACT - Short of Breath When Performing Usual Activities Outside
	EXACT1-Short Breath Personal Care		C123677	EXACT1-Short Breath Personal Care	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual personal care activities like washing or dressing?	EXACT - Short of Breath When Performing Usual Personal Care
	EXACT1-Tired or Weak		C123680	EXACT1-Tired or Weak	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you tired or weak today?	EXACT - Tired or Weak
	EXACT1-Worried About Lung Problems		C123682	EXACT1-Worried About Lung Problems	Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How scared or worried were you about your lung problems today?	EXACT - Worried About Lung Problems
Back to top
CL.C115404.GOSE TESTCD	QS-Extended Glasgow Outcome Scale Questionnaire Test Code (GOSE TESTCD)	text Extensible: No	C115404	QS-Extended Glasgow Outcome Scale Questionnaire Test Code	Extended Glasgow Outcome Scale test code.	CDISC Questionnaire GOSE Test Code Terminology
	GOSE101		C115828	GOSE1-Obey Simple Commands or Say Words	Extended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words?	GOSE - Consciousness: Obey Simple Commands
	GOSE102A		C115829	GOSE1-Daily Assistance at Home Essential	Extended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living?	GOSE - Independence in the Home: Assistance Essential for Daily Living
	GOSE102B		C115830	GOSE1-Need Frequent Help at Home	Extended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time?	GOSE - Independence in the Home: Need Frequent Help at Home
	GOSE102C		C115831	GOSE1-Assistance at Home Before Injury	Extended Glasgow Outcome Scale - Was assistance at home essential before the injury?	GOSE - Independence in the Home: Assistance at Home Before Injury
	GOSE103A		C115832	GOSE1-Shop Without Assistance	Extended Glasgow Outcome Scale - Are they able to shop without assistance?	GOSE - Independence Outside the Home: Able to Shop Without Assistance
	GOSE103B		C115833	GOSE1-Shop Without Assist Before Injury	Extended Glasgow Outcome Scale - Were they able to shop without assistance before the injury?	GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury
	GOSE104A		C115834	GOSE1-Travel Locally Without Assistance	Extended Glasgow Outcome Scale - Are they able to travel locally without assistance?	GOSE - Independence Outside the Home: Travel Locally Without Assistance
	GOSE104B		C115835	GOSE1-Travel Without Assist Before Inj	Extended Glasgow Outcome Scale - Were they able to travel without assistance before the injury?	GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
	GOSE105A		C115836	GOSE1-Able to Work to Previous Capacity	Extended Glasgow Outcome Scale - Are they currently able to work to their previous capacity?	GOSE - Work: Able to Work to Previous Capacity
	GOSE105B		C115837	GOSE1-How Restricted Are They	Extended Glasgow Outcome Scale - How restricted are they?	GOSE - Work: How Restricted Are They
	GOSE105C		C115838	GOSE1-Working Before Injury	Extended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')?	GOSE - Work: Working or Seeking Employment Before the Injury
	GOSE106A		C115839	GOSE1-Resume Social/Leisure Outside Home	Extended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home?	GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities
	GOSE106B		C115840	GOSE1-Extent Social/Leisure Restriction	Extended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities?	GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities
	GOSE106C		C115841	GOSE1-Engage Social/Leisure Before Inj	Extended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury?	GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury
	GOSE107A		C115842	GOSE1-Disruptive Psychological Problems	Extended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships?	GOSE - Family and Friendships: Disruptive Psychological Problems
	GOSE107B		C115843	GOSE1-Extent of Disruption	Extended Glasgow Outcome Scale - What has been the extent of disruption or strain?	GOSE - Family and Friendships: Extent of Disruption or Strain
	GOSE107C		C115844	GOSE1-Family/Friends Probs Before Injury	Extended Glasgow Outcome Scale - Were there problems with family or friends before the injury?	GOSE - Family and Friendships: Problems with Family or Friends Before Injury
	GOSE108A		C115845	GOSE1-Other Problems Related to Injury	Extended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life?	GOSE - Return to Normal Life: Other Current Problems Relating to Injury
	GOSE108B		C115846	GOSE1-Similar Problems Before Injury	Extended Glasgow Outcome Scale - Were similar problems present before the injury?	GOSE - Return to Normal Life: Similar Problems Before Injury
	GOSE109		C115847	GOSE1-Since Injury Any Epileptic Fits	Extended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits?	GOSE - Epilepsy: Since Injury Any Epileptic Fits
	GOSE110		C115848	GOSE1-At Risk of Developing Epilepsy	Extended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy?	GOSE - Epilepsy: At Risk of Developing Epilepsy
	GOSE111		C115849	GOSE1-Most Important Factor in Outcome	Extended Glasgow Outcome Scale - What is the most important factor in outcome?	GOSE - Epilepsy: Most Important Factor in Outcome
	GOSE112		C115850	GOSE1-GOSE Overall Score	Extended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale.	GOSE - GOSE Overall Score
Back to top
CL.C115403.GOSE TEST	QS-Extended Glasgow Outcome Scale Questionnaire Test Name (GOSE TEST)	text Extensible: No	C115403	QS-Extended Glasgow Outcome Scale Questionnaire Test Name	Extended Glasgow Outcome Scale test name.	CDISC Questionnaire GOSE Test Name Terminology
	GOSE1-Able to Work to Previous Capacity		C115836	GOSE1-Able to Work to Previous Capacity	Extended Glasgow Outcome Scale - Are they currently able to work to their previous capacity?	GOSE - Work: Able to Work to Previous Capacity
	GOSE1-Assistance at Home Before Injury		C115831	GOSE1-Assistance at Home Before Injury	Extended Glasgow Outcome Scale - Was assistance at home essential before the injury?	GOSE - Independence in the Home: Assistance at Home Before Injury
	GOSE1-At Risk of Developing Epilepsy		C115848	GOSE1-At Risk of Developing Epilepsy	Extended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy?	GOSE - Epilepsy: At Risk of Developing Epilepsy
	GOSE1-Daily Assistance at Home Essential		C115829	GOSE1-Daily Assistance at Home Essential	Extended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living?	GOSE - Independence in the Home: Assistance Essential for Daily Living
	GOSE1-Disruptive Psychological Problems		C115842	GOSE1-Disruptive Psychological Problems	Extended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships?	GOSE - Family and Friendships: Disruptive Psychological Problems
	GOSE1-Engage Social/Leisure Before Inj		C115841	GOSE1-Engage Social/Leisure Before Inj	Extended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury?	GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury
	GOSE1-Extent of Disruption		C115843	GOSE1-Extent of Disruption	Extended Glasgow Outcome Scale - What has been the extent of disruption or strain?	GOSE - Family and Friendships: Extent of Disruption or Strain
	GOSE1-Extent Social/Leisure Restriction		C115840	GOSE1-Extent Social/Leisure Restriction	Extended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities?	GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities
	GOSE1-Family/Friends Probs Before Injury		C115844	GOSE1-Family/Friends Probs Before Injury	Extended Glasgow Outcome Scale - Were there problems with family or friends before the injury?	GOSE - Family and Friendships: Problems with Family or Friends Before Injury
	GOSE1-GOSE Overall Score		C115850	GOSE1-GOSE Overall Score	Extended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale.	GOSE - GOSE Overall Score
	GOSE1-How Restricted Are They		C115837	GOSE1-How Restricted Are They	Extended Glasgow Outcome Scale - How restricted are they?	GOSE - Work: How Restricted Are They
	GOSE1-Most Important Factor in Outcome		C115849	GOSE1-Most Important Factor in Outcome	Extended Glasgow Outcome Scale - What is the most important factor in outcome?	GOSE - Epilepsy: Most Important Factor in Outcome
	GOSE1-Need Frequent Help at Home		C115830	GOSE1-Need Frequent Help at Home	Extended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time?	GOSE - Independence in the Home: Need Frequent Help at Home
	GOSE1-Obey Simple Commands or Say Words		C115828	GOSE1-Obey Simple Commands or Say Words	Extended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words?	GOSE - Consciousness: Obey Simple Commands
	GOSE1-Other Problems Related to Injury		C115845	GOSE1-Other Problems Related to Injury	Extended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life?	GOSE - Return to Normal Life: Other Current Problems Relating to Injury
	GOSE1-Resume Social/Leisure Outside Home		C115839	GOSE1-Resume Social/Leisure Outside Home	Extended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home?	GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities
	GOSE1-Shop Without Assist Before Injury		C115833	GOSE1-Shop Without Assist Before Injury	Extended Glasgow Outcome Scale - Were they able to shop without assistance before the injury?	GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury
	GOSE1-Shop Without Assistance		C115832	GOSE1-Shop Without Assistance	Extended Glasgow Outcome Scale - Are they able to shop without assistance?	GOSE - Independence Outside the Home: Able to Shop Without Assistance
	GOSE1-Similar Problems Before Injury		C115846	GOSE1-Similar Problems Before Injury	Extended Glasgow Outcome Scale - Were similar problems present before the injury?	GOSE - Return to Normal Life: Similar Problems Before Injury
	GOSE1-Since Injury Any Epileptic Fits		C115847	GOSE1-Since Injury Any Epileptic Fits	Extended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits?	GOSE - Epilepsy: Since Injury Any Epileptic Fits
	GOSE1-Travel Locally Without Assistance		C115834	GOSE1-Travel Locally Without Assistance	Extended Glasgow Outcome Scale - Are they able to travel locally without assistance?	GOSE - Independence Outside the Home: Travel Locally Without Assistance
	GOSE1-Travel Without Assist Before Inj		C115835	GOSE1-Travel Without Assist Before Inj	Extended Glasgow Outcome Scale - Were they able to travel without assistance before the injury?	GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
	GOSE1-Working Before Injury		C115838	GOSE1-Working Before Injury	Extended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')?	GOSE - Work: Working or Seeking Employment Before the Injury
Back to top
CL.C117991.ESRSA TESTCD	QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code (ESRSA TESTCD)	text Extensible: No	C117991	QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code	Extrapyramidal Symptom Rating Scale-Abbreviated test code.	CDISC Questionnaire ESRS-A Test Code Terminology
	ESRSA101		C118079	ESRSA1-Rigidity: Upper Limbs	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs.	ESRS-A - Rigidity: Upper Limbs
	ESRSA102		C118080	ESRSA1-Rigidity: Lower Limbs	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs.	ESRS-A - Rigidity: Lower Limbs
	ESRSA103		C118081	ESRSA1-Rigidity: Neck	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck.	ESRS-A - Rigidity: Neck
	ESRSA104		C118082	ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head.	ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
	ESRSA105		C118083	ESRSA1-Tremor: Upper Limbs/Hands	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands.	ESRS-A - Tremor: Upper Limbs/Hands
	ESRSA106		C118084	ESRSA1-Tremor: Lower Limbs/Feet	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet.	ESRS-A - Tremor: Lower Limbs/Feet
	ESRSA107		C118085	ESRSA1-Reduced Facial Expression/Speech	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech.	ESRS-A - Reduced Facial Expression/Speech
	ESRSA108		C118086	ESRSA1-Impaired Gait/Posture	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture.	ESRS-A - Impaired Gait/Posture
	ESRSA109		C118087	ESRSA1-Postural Instability	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability.	ESRS-A - Postural Instability
	ESRSA110		C118088	ESRSA1-Bradykinesia/Hypokinesia	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia.	ESRS-A - Bradykinesia/Hypokinesia
	ESRSA111		C118089	ESRSA1-Dystonia: Tongue	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue.	ESRS-A - Dystonia: Tongue
	ESRSA112		C118090	ESRSA1-Dystonia: Jaw	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw.	ESRS-A - Dystonia: Jaw
	ESRSA113		C118091	ESRSA1-Dystonia: Eyes/Face/Larynx	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx.	ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
	ESRSA114		C118092	ESRSA1-Dystonia: Shoulder/Up Limb/Hand	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands.	ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
	ESRSA115		C118093	ESRSA1-Dystonia: Hips/Lower Limbs/Feet	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet.	ESRS-A - Dystonia: Hips/Lower Limbs/Feet
	ESRSA116		C118094	ESRSA1-Dystonia: Trunk/Neck	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck.	ESRS-A - Dystonia: Trunk/Neck
	ESRSA117		C118095	ESRSA1-Dyskinesia: Tongue	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue.	ESRS-A - Dyskinesia: Tongue
	ESRSA118		C118096	ESRSA1-Dyskinesia: Jaw	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw.	ESRS-A - Dyskinesia: Jaw
	ESRSA119		C118097	ESRSA1-Dyskinesia: Eyes/Up Face/Low Face	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face.	ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
	ESRSA120		C118098	ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands.	ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
	ESRSA121		C118099	ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet.	ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
	ESRSA122		C118100	ESRSA1-Dyskinesia: Trunk/Neck	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck.	ESRS-A - Dyskinesia: Trunk/Neck
	ESRSA123		C118101	ESRSA1-Akathisia: Subjective	Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective.	ESRS-A - Akathisia: Subjective
	ESRSA124		C118102	ESRSA1-Akathisia: Objective	Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective.	ESRS-A - Akathisia: Objective
	ESRSA125		C118103	ESRSA1-CGI-S Parkinsonism	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism.	ESRS-A - CGI-S Parkinsonism
	ESRSA126		C118104	ESRSA1-CGI-S Dystonia	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia.	ESRS-A - CGI-S Dystonia
	ESRSA127		C118105	ESRSA1-CGI-S Dyskinesia	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia.	ESRS-A - CGI-S Dyskinesia
	ESRSA128		C118106	ESRSA1-CGI-S Akathisia	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia.	ESRS-A - CGI-S Akathisia
Back to top
CL.C117990.ESRSA TEST	QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name (ESRSA TEST)	text Extensible: No	C117990	QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name	Extrapyramidal Symptom Rating Scale-Abbreviated test name.	CDISC Questionnaire ESRS-A Test Name Terminology
	ESRSA1-Akathisia: Objective		C118102	ESRSA1-Akathisia: Objective	Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective.	ESRS-A - Akathisia: Objective
	ESRSA1-Akathisia: Subjective		C118101	ESRSA1-Akathisia: Subjective	Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective.	ESRS-A - Akathisia: Subjective
	ESRSA1-Bradykinesia/Hypokinesia		C118088	ESRSA1-Bradykinesia/Hypokinesia	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia.	ESRS-A - Bradykinesia/Hypokinesia
	ESRSA1-CGI-S Akathisia		C118106	ESRSA1-CGI-S Akathisia	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia.	ESRS-A - CGI-S Akathisia
	ESRSA1-CGI-S Dyskinesia		C118105	ESRSA1-CGI-S Dyskinesia	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia.	ESRS-A - CGI-S Dyskinesia
	ESRSA1-CGI-S Dystonia		C118104	ESRSA1-CGI-S Dystonia	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia.	ESRS-A - CGI-S Dystonia
	ESRSA1-CGI-S Parkinsonism		C118103	ESRSA1-CGI-S Parkinsonism	Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism.	ESRS-A - CGI-S Parkinsonism
	ESRSA1-Dyskinesia: Eyes/Up Face/Low Face		C118097	ESRSA1-Dyskinesia: Eyes/Up Face/Low Face	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face.	ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
	ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet		C118099	ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet.	ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
	ESRSA1-Dyskinesia: Jaw		C118096	ESRSA1-Dyskinesia: Jaw	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw.	ESRS-A - Dyskinesia: Jaw
	ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand		C118098	ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands.	ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
	ESRSA1-Dyskinesia: Tongue		C118095	ESRSA1-Dyskinesia: Tongue	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue.	ESRS-A - Dyskinesia: Tongue
	ESRSA1-Dyskinesia: Trunk/Neck		C118100	ESRSA1-Dyskinesia: Trunk/Neck	Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck.	ESRS-A - Dyskinesia: Trunk/Neck
	ESRSA1-Dystonia: Eyes/Face/Larynx		C118091	ESRSA1-Dystonia: Eyes/Face/Larynx	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx.	ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
	ESRSA1-Dystonia: Hips/Lower Limbs/Feet		C118093	ESRSA1-Dystonia: Hips/Lower Limbs/Feet	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet.	ESRS-A - Dystonia: Hips/Lower Limbs/Feet
	ESRSA1-Dystonia: Jaw		C118090	ESRSA1-Dystonia: Jaw	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw.	ESRS-A - Dystonia: Jaw
	ESRSA1-Dystonia: Shoulder/Up Limb/Hand		C118092	ESRSA1-Dystonia: Shoulder/Up Limb/Hand	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands.	ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
	ESRSA1-Dystonia: Tongue		C118089	ESRSA1-Dystonia: Tongue	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue.	ESRS-A - Dystonia: Tongue
	ESRSA1-Dystonia: Trunk/Neck		C118094	ESRSA1-Dystonia: Trunk/Neck	Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck.	ESRS-A - Dystonia: Trunk/Neck
	ESRSA1-Impaired Gait/Posture		C118086	ESRSA1-Impaired Gait/Posture	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture.	ESRS-A - Impaired Gait/Posture
	ESRSA1-Postural Instability		C118087	ESRSA1-Postural Instability	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability.	ESRS-A - Postural Instability
	ESRSA1-Reduced Facial Expression/Speech		C118085	ESRSA1-Reduced Facial Expression/Speech	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech.	ESRS-A - Reduced Facial Expression/Speech
	ESRSA1-Rigidity: Lower Limbs		C118080	ESRSA1-Rigidity: Lower Limbs	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs.	ESRS-A - Rigidity: Lower Limbs
	ESRSA1-Rigidity: Neck		C118081	ESRSA1-Rigidity: Neck	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck.	ESRS-A - Rigidity: Neck
	ESRSA1-Rigidity: Upper Limbs		C118079	ESRSA1-Rigidity: Upper Limbs	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs.	ESRS-A - Rigidity: Upper Limbs
	ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head		C118082	ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head.	ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
	ESRSA1-Tremor: Lower Limbs/Feet		C118084	ESRSA1-Tremor: Lower Limbs/Feet	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet.	ESRS-A - Tremor: Lower Limbs/Feet
	ESRSA1-Tremor: Upper Limbs/Hands		C118083	ESRSA1-Tremor: Upper Limbs/Hands	Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands.	ESRS-A - Tremor: Upper Limbs/Hands
Back to top
CL.C100154.FPSR TESTCD	QS-Faces Pain Scale - Revised Test Code (FPSR TESTCD)	text Extensible: No	C100154	QS-Faces Pain Scale - Revised Test Code	Faces Pain Scale - Revised test code.	CDISC Questionnaire FPSR Test Code Terminology
	FPSR101		C101013	FPSR1-How Much do you Hurt	Faces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].	FPSR - How Much do You Hurt
Back to top
CL.C100153.FPSR TEST	QS-Faces Pain Scale - Revised Test Name (FPSR TEST)	text Extensible: No	C100153	QS-Faces Pain Scale - Revised Test Name	Faces Pain Scale - Revised test name.	CDISC Questionnaire FPSR Test Name Terminology
	FPSR1-How Much do you Hurt		C101013	FPSR1-How Much do you Hurt	Faces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].	FPSR - How Much do You Hurt
Back to top
CL.C113850.FSS TESTCD	QS-Fatigue Severity Scale Test Code (FSS TESTCD)	text Extensible: No	C113850	QS-Fatigue Severity Scale Test Code	Fatigue Severity Scale test code.	CDISC Questionnaire Fatigue Severity Scale Test Code Terminology
	FSS0101		C113944	FSS01-Motivation Is Lower When Fatigued	Fatigue Severity Scale - My motivation is lower when I am fatigued.	FSS - Motivation is Lower When Fatigued
	FSS0102		C113945	FSS01-Exercise Brings on My Fatigue	Fatigue Severity Scale - Exercise brings on my fatigue.	FSS - Exercise Brings on My Fatigue
	FSS0103		C113946	FSS01-I Am Easily Fatigued	Fatigue Severity Scale - I am easily fatigued.	FSS - I Am Easily Fatigued
	FSS0104		C113947	FSS01-Interferes With Phys Function	Fatigue Severity Scale - Fatigue interferes with my physical functioning.	FSS - Fatigue Interferes With Physical Functioning
	FSS0105		C113948	FSS01-Fatigue Causes Frequent Problems	Fatigue Severity Scale - Fatigue causes frequent problems for me.	FSS - Fatigue Causes Frequent Problems
	FSS0106		C113949	FSS01-Prevents Sustained Phys Function	Fatigue Severity Scale - My fatigue prevents sustained physical functioning.	FSS - Fatigue Prevents Sustained Physical Functioning
	FSS0107		C113950	FSS01-Fatigue Interferes With Duties	Fatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.	FSS - Fatigue Interferes With Carrying Out Duties
	FSS0108		C113951	FSS01-Among My 3 Most Disabling Symptoms	Fatigue Severity Scale - Fatigue is among my three most disabling symptoms.	FSS - Fatigue is Among Most Disabling Symptoms
	FSS0109		C113952	FSS01-Fatigue Interferes With My Life	Fatigue Severity Scale - Fatigue interferes with my work, family, or social life.	FSS - Fatigue Interferes With Work
Back to top
CL.C113849.FSS TEST	QS-Fatigue Severity Scale Test Name (FSS TEST)	text Extensible: No	C113849	QS-Fatigue Severity Scale Test Name	Fatigue Severity Scale test name.	CDISC Questionnaire Fatigue Severity Scale Test Name Terminology
	FSS01-Among My 3 Most Disabling Symptoms		C113951	FSS01-Among My 3 Most Disabling Symptoms	Fatigue Severity Scale - Fatigue is among my three most disabling symptoms.	FSS - Fatigue is Among Most Disabling Symptoms
	FSS01-Exercise Brings on My Fatigue		C113945	FSS01-Exercise Brings on My Fatigue	Fatigue Severity Scale - Exercise brings on my fatigue.	FSS - Exercise Brings on My Fatigue
	FSS01-Fatigue Causes Frequent Problems		C113948	FSS01-Fatigue Causes Frequent Problems	Fatigue Severity Scale - Fatigue causes frequent problems for me.	FSS - Fatigue Causes Frequent Problems
	FSS01-Fatigue Interferes With Duties		C113950	FSS01-Fatigue Interferes With Duties	Fatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.	FSS - Fatigue Interferes With Carrying Out Duties
	FSS01-Fatigue Interferes With My Life		C113952	FSS01-Fatigue Interferes With My Life	Fatigue Severity Scale - Fatigue interferes with my work, family, or social life.	FSS - Fatigue Interferes With Work
	FSS01-I Am Easily Fatigued		C113946	FSS01-I Am Easily Fatigued	Fatigue Severity Scale - I am easily fatigued.	FSS - I Am Easily Fatigued
	FSS01-Interferes With Phys Function		C113947	FSS01-Interferes With Phys Function	Fatigue Severity Scale - Fatigue interferes with my physical functioning.	FSS - Fatigue Interferes With Physical Functioning
	FSS01-Motivation Is Lower When Fatigued		C113944	FSS01-Motivation Is Lower When Fatigued	Fatigue Severity Scale - My motivation is lower when I am fatigued.	FSS - Motivation is Lower When Fatigued
	FSS01-Prevents Sustained Phys Function		C113949	FSS01-Prevents Sustained Phys Function	Fatigue Severity Scale - My fatigue prevents sustained physical functioning.	FSS - Fatigue Prevents Sustained Physical Functioning
Back to top
CL.C111344.FAQ TESTCD	QS-Functional Activities Questionnaire Test Code (FAQ TESTCD)	text Extensible: No	C111344	QS-Functional Activities Questionnaire Test Code	Functional Activities Questionnaire test code.	CDISC Questionnaire FAQ Test Code Terminology
	FAQ0101		C111499	FAQ01-Write Checks/Pay Bills/Checkbook	Functional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.	FAQ - Write checks, Pay bills, Balance checkbook
	FAQ0102		C111500	FAQ01-Assembling	Functional Activities Questionnaire - Assembling tax records, business affairs, or papers.	FAQ - Assemble
	FAQ0103		C111501	FAQ01-Shopping Alone	Functional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.	FAQ - Shop Alone
	FAQ0104		C111502	FAQ01-Playing a Game of Skill	Functional Activities Questionnaire - Playing a game of skill, working on a hobby.	FAQ - Play Game of Skill, Work on Hobby
	FAQ0105		C111503	FAQ01-Heat Water/Make Coffee/Stove Off	Functional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.	FAQ - Heat water, Make Coffee, Turn Off Stove
	FAQ0106		C111504	FAQ01-Preparing a Balanced Meal	Functional Activities Questionnaire - Preparing a balanced meal.	FAQ - Prepare a Meal
	FAQ0107		C111505	FAQ01-Keeping Track of Current Events	Functional Activities Questionnaire - Keeping track of current events.	FAQ - Keep Track of Current Events
	FAQ0108		C111506	FAQ01-Paying Attention	Functional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.	FAQ - Pay Attention, Understand, Discuss
	FAQ0109		C111507	FAQ01-Remembering	Functional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.	FAQ - Remember
	FAQ0110		C111508	FAQ01-Traveling	Functional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.	FAQ - Travel
	FAQ0111		C111509	FAQ01-Total Score	Functional Activities Questionnaire - Total Score.	FAQ - Total Score
Back to top
CL.C111343.FAQ TEST	QS-Functional Activities Questionnaire Test Name (FAQ TEST)	text Extensible: No	C111343	QS-Functional Activities Questionnaire Test Name	Functional Activities Questionnaire test name.	CDISC Questionnaire FAQ Test Name Terminology
	FAQ01-Assembling		C111500	FAQ01-Assembling	Functional Activities Questionnaire - Assembling tax records, business affairs, or papers.	FAQ - Assemble
	FAQ01-Heat Water/Make Coffee/Stove Off		C111503	FAQ01-Heat Water/Make Coffee/Stove Off	Functional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.	FAQ - Heat water, Make Coffee, Turn Off Stove
	FAQ01-Keeping Track of Current Events		C111505	FAQ01-Keeping Track of Current Events	Functional Activities Questionnaire - Keeping track of current events.	FAQ - Keep Track of Current Events
	FAQ01-Paying Attention		C111506	FAQ01-Paying Attention	Functional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.	FAQ - Pay Attention, Understand, Discuss
	FAQ01-Playing a Game of Skill		C111502	FAQ01-Playing a Game of Skill	Functional Activities Questionnaire - Playing a game of skill, working on a hobby.	FAQ - Play Game of Skill, Work on Hobby
	FAQ01-Preparing a Balanced Meal		C111504	FAQ01-Preparing a Balanced Meal	Functional Activities Questionnaire - Preparing a balanced meal.	FAQ - Prepare a Meal
	FAQ01-Remembering		C111507	FAQ01-Remembering	Functional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.	FAQ - Remember
	FAQ01-Shopping Alone		C111501	FAQ01-Shopping Alone	Functional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.	FAQ - Shop Alone
	FAQ01-Total Score		C111509	FAQ01-Total Score	Functional Activities Questionnaire - Total Score.	FAQ - Total Score
	FAQ01-Traveling		C111508	FAQ01-Traveling	Functional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.	FAQ - Travel
	FAQ01-Write Checks/Pay Bills/Checkbook		C111499	FAQ01-Write Checks/Pay Bills/Checkbook	Functional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.	FAQ - Write checks, Pay bills, Balance checkbook
Back to top
CL.C111346.FAQ-NACC Version TESTCD	QS-Functional Activities Questionnaire-NACC Version Test Code (FAQ-NACC Version TESTCD)	text Extensible: No	C111346	QS-Functional Activities Questionnaire-NACC Version Test Code	Functional Activities Questionnaire-NACC Version test code.	CDISC Questionnaire FAQ-NACC Version Test Code Terminology
	FAQ0201		C111510	FAQ02-Write Checks/Pay Bills/Checkbook	Functional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook.	FAQ-NACC Version - Write checks, Pay bills, Balance checkbook
	FAQ0202		C111511	FAQ02-Assembling	Functional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers.	FAQ-NACC Version - Assemble
	FAQ0203		C111512	FAQ02-Shopping Alone	Functional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries.	FAQ-NACC Version - Shop Alone
	FAQ0204		C111513	FAQ02-Playing a Game of Skill	Functional Activities Questionnaire-NACC - Playing a game of skill such as bridge or chess, working on a hobby.	FAQ-NACC Version - Play Game of Skill, Work on Hobby
	FAQ0205		C111514	FAQ02-Heat Water/Make Coffee/Stove Off	Functional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove.	FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove
	FAQ0206		C111515	FAQ02-Preparing a Balanced Meal	Functional Activities Questionnaire-NACC - Preparing a balanced meal.	FAQ-NACC Version - Prepare a Meal
	FAQ0207		C111516	FAQ02-Keeping Track of Current Events	Functional Activities Questionnaire-NACC - Keeping track of current events.	FAQ-NACC Version - Keep Track of Current Events
	FAQ0208		C111517	FAQ02-Paying Attention	Functional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine.	FAQ-NACC Version - Pay Attention, Understand, Discuss
	FAQ0209		C111518	FAQ02-Remembering	Functional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications.	FAQ-NACC Version - Remember
	FAQ0210		C111519	FAQ02-Traveling	Functional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation.	FAQ-NACC Version - Travel
Back to top
CL.C111345.FAQ-NACC Version TEST	QS-Functional Activities Questionnaire-NACC Version Test Name (FAQ-NACC Version TEST)	text Extensible: No	C111345	QS-Functional Activities Questionnaire-NACC Version Test Name	Functional Activities Questionnaire-NACC Version test name.	CDISC Questionnaire FAQ-NACC Version Test Name Terminology
	FAQ02-Assembling		C111511	FAQ02-Assembling	Functional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers.	FAQ-NACC Version - Assemble
	FAQ02-Heat Water/Make Coffee/Stove Off		C111514	FAQ02-Heat Water/Make Coffee/Stove Off	Functional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove.	FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove
	FAQ02-Keeping Track of Current Events		C111516	FAQ02-Keeping Track of Current Events	Functional Activities Questionnaire-NACC - Keeping track of current events.	FAQ-NACC Version - Keep Track of Current Events
	FAQ02-Paying Attention		C111517	FAQ02-Paying Attention	Functional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine.	FAQ-NACC Version - Pay Attention, Understand, Discuss
	FAQ02-Playing a Game of Skill		C111513	FAQ02-Playing a Game of Skill	Functional Activities Questionnaire-NACC - Playing a game of skill such as bridge or chess, working on a hobby.	FAQ-NACC Version - Play Game of Skill, Work on Hobby
	FAQ02-Preparing a Balanced Meal		C111515	FAQ02-Preparing a Balanced Meal	Functional Activities Questionnaire-NACC - Preparing a balanced meal.	FAQ-NACC Version - Prepare a Meal
	FAQ02-Remembering		C111518	FAQ02-Remembering	Functional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications.	FAQ-NACC Version - Remember
	FAQ02-Shopping Alone		C111512	FAQ02-Shopping Alone	Functional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries.	FAQ-NACC Version - Shop Alone
	FAQ02-Traveling		C111519	FAQ02-Traveling	Functional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation.	FAQ-NACC Version - Travel
	FAQ02-Write Checks/Pay Bills/Checkbook		C111510	FAQ02-Write Checks/Pay Bills/Checkbook	Functional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook.	FAQ-NACC Version - Write checks, Pay bills, Balance checkbook
Back to top
CL.C112441.FAMS TESTCD	QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code (FAMS TESTCD)	text Extensible: No	C112441	QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code	Functional Assessment of Multiple Sclerosis Version 4 test code.	CDISC Questionnaire FAMS Test Code Terminology
	FAMS0101		C112551	FAMS01-Trouble Meeting Needs of Family	Functional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.	FAMS - Have Trouble Meeting Needs of Family Because of My Condition
	FAMS0102		C112552	FAMS01-I Am Able to Work	Functional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).	FAMS - I Am Able to Work
	FAMS0103		C112553	FAMS01-I Have Trouble Walking	Functional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.	FAMS - I Have Trouble Walking
	FAMS0104		C112554	FAMS01-Limit My Social Activity	Functional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.	FAMS - Limit Social Activity Because of Condition
	FAMS0105		C112555	FAMS01-I Have Strength in My Legs	Functional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.	FAMS - I Have Strength in My Legs
	FAMS0106		C112556	FAMS01-Trouble Getting Around in Public	Functional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.	FAMS - Trouble Getting Around in Public Places
	FAMS0107		C112557	FAMS01-Take My Condition Into Account	Functional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.	FAMS - Have to Take Condition Into Account When Making Plans
	FAMS0108		C112558	FAMS01-I Have Nausea	Functional Assessment of Multiple Sclerosis - Symptoms: I have nausea.	FAMS - I Have Nausea
	FAMS0109		C112559	FAMS01-I Have Pain	Functional Assessment of Multiple Sclerosis - Symptoms: I have pain.	FAMS - I Have Pain
	FAMS0110		C112560	FAMS01-I Feel Ill	Functional Assessment of Multiple Sclerosis - Symptoms: I feel ill.	FAMS - I Feel Ill
	FAMS0111		C112561	FAMS01-I Feel Weak All Over	Functional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.	FAMS - I Feel Weak All Over
	FAMS0112		C112562	FAMS01-I Have Pain in My Joints	Functional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.	FAMS - I Have Pain in My Joints
	FAMS0113		C112563	FAMS01-I Am Bothered by Headaches	Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.	FAMS - Bothered by Headaches
	FAMS0114		C112564	FAMS01-I Am Bothered by Muscle Pains	Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.	FAMS - Bothered by Muscle Pains
	FAMS0115		C112565	FAMS01-I Feel Sad	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.	FAMS - I Feel Sad
	FAMS0116		C112566	FAMS01-Losing Hope Against Illness	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.	FAMS - Losing Hope in Fight Against My Illness
	FAMS0117		C112567	FAMS01-I Am Able to Enjoy Life	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.	FAMS - I Am Able to Enjoy Life
	FAMS0118		C112568	FAMS01-I Feel Trapped by My Condition	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.	FAMS - Feel Trapped by My Condition
	FAMS0119		C112569	FAMS01-I Am Depressed About My Condition	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.	FAMS - Depressed About My Condition
	FAMS0120		C112570	FAMS01-I Feel Useless	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.	FAMS - I Feel Useless
	FAMS0121		C112571	FAMS01-Feel Overwhelmed by My Condition	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.	FAMS - Feel Overwhelmed by My Condition
	FAMS0122		C112572	FAMS01-My Work Is Fulfilling	Functional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.	FAMS - My Work is Fulfilling
	FAMS0123		C112573	FAMS01-I Have Accepted My Illness	Functional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.	FAMS - I Have Accepted My Illness
	FAMS0124		C112574	FAMS01-Enjoy Things I Usually Do for Fun	Functional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.	FAMS - Enjoying Things I Usually Do for Fun
	FAMS0125		C112575	FAMS01-Content With Quality of My Life	Functional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.	FAMS - Content With Quality of My Life Now
	FAMS0126		C112576	FAMS01-I Am Frustrated by My Condition	Functional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.	FAMS - I Am Frustrated by My Condition
	FAMS0127		C112577	FAMS01-Feel Sense of Purpose in My Life	Functional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.	FAMS - Feel Sense of Purpose in My Life
	FAMS0128		C112578	FAMS01-I Feel Motivated to Do Things	Functional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.	FAMS - Feel Motivated to Do Things
	FAMS0129		C112579	FAMS01-I Have a Lack of Energy	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.	FAMS - Have a Lack of Energy
	FAMS0130		C112580	FAMS01-I Feel Tired	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.	FAMS - I Feel Tired
	FAMS0131		C112581	FAMS01-Trouble Starting Things	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.	FAMS - Trouble Starting Things Because I Am Tired
	FAMS0132		C112582	FAMS01-Trouble Finishing Things	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.	FAMS - Trouble Finishing Things Because I Am Tired
	FAMS0133		C112583	FAMS01-I Need to Rest During the Day	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.	FAMS - Need to Rest During the Day
	FAMS0134		C112584	FAMS01-I Have Trouble Remembering Things	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.	FAMS - Trouble Remembering Things
	FAMS0135		C112585	FAMS01-I Have Trouble Concentrating	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.	FAMS - Trouble Concentrating
	FAMS0136		C112586	FAMS01-My Thinking Is Slower Than Before	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.	FAMS - My Thinking is Slower Than Before
	FAMS0137		C112587	FAMS01-I Have Trouble Learning New Tasks	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.	FAMS - Trouble Learning New Tasks or Directions
	FAMS0138		C112588	FAMS01-I Feel Close to My Friends	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.	FAMS - Feel Close to My Friends
	FAMS0139		C112589	FAMS01-Get Emotional Support From Family	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.	FAMS - Get Emotional Support From Family
	FAMS0140		C112590	FAMS01-I Get Support From My Friends	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.	FAMS - Get Support From Friends
	FAMS0141		C112591	FAMS01-My Family Has Accepted My Illness	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.	FAMS - Family Has Accepted My Illness
	FAMS0142		C112592	FAMS01-Satisfied Communication Illness	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.	FAMS - Satisfied With Family Communication About My Illness
	FAMS0143		C112593	FAMS01-Trouble Understanding Worsening	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.	FAMS - Family Has Trouble Understanding When My Condition Gets Worse
	FAMS0144		C112594	FAMS01-I Feel Left Out of Things	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.	FAMS - Feel Left Out of Things
	FAMS0145		C112595	FAMS01-Bothered by Treatment Side Effect	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.	FAMS - Bothered by Side Effects of Treatment
	FAMS0146		C112596	FAMS01-I Am Forced to Spend Time in Bed	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.	FAMS - Forced to Spend Time in Bed
	FAMS0147		C112597	FAMS01-I Feel Close to My Partner	Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).	FAMS - Feel Close to My Partner
	FAMS0148		C112598	FAMS01-I Am Satisfied With My Sex Life	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.	FAMS - Satisfied With My Sex Life
	FAMS0149		C112599	FAMS01-Satisfied With How I Am Coping	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.	FAMS - Satisfied With How I Am Coping With Illness
	FAMS0150		C112600	FAMS01-I Feel Nervous	Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.	FAMS - I Feel Nervous
	FAMS0151		C112601	FAMS01-Worry My Condition Will Get Worse	Functional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.	FAMS - Worry My Condition Will Get Worse
	FAMS0152		C112602	FAMS01-I Am Sleeping Well	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.	FAMS - I Am Sleeping Well
	FAMS0153		C112603	FAMS01-Heat Worsens My Symptoms	Functional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.	FAMS - Heat Worsens My Symptoms
	FAMS0154		C112604	FAMS01-Have Trouble Controlling My Urine	Functional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.	FAMS - Trouble Controlling My Urine
	FAMS0155		C112605	FAMS01-I Urinate More Frequently	Functional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.	FAMS - Urinate More Frequently Than Usual
	FAMS0156		C112606	FAMS01-I Am Bothered by the Chills	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.	FAMS - Bothered by Chills
	FAMS0157		C112607	FAMS01-I Am Bothered by Fevers	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).	FAMS - Bothered by Fevers
	FAMS0158		C112608	FAMS01-I Am Bothered by Muscle Spasms	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.	FAMS - Bothered by Muscle Spasms
Back to top
CL.C112440.FAMS TEST	QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name (FAMS TEST)	text Extensible: No	C112440	QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name	Functional Assessment of Multiple Sclerosis Version 4 test name.	CDISC Questionnaire FAMS Test Name Terminology
	FAMS01-Bothered by Treatment Side Effect		C112595	FAMS01-Bothered by Treatment Side Effect	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.	FAMS - Bothered by Side Effects of Treatment
	FAMS01-Content With Quality of My Life		C112575	FAMS01-Content With Quality of My Life	Functional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.	FAMS - Content With Quality of My Life Now
	FAMS01-Enjoy Things I Usually Do for Fun		C112574	FAMS01-Enjoy Things I Usually Do for Fun	Functional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.	FAMS - Enjoying Things I Usually Do for Fun
	FAMS01-Feel Overwhelmed by My Condition		C112571	FAMS01-Feel Overwhelmed by My Condition	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.	FAMS - Feel Overwhelmed by My Condition
	FAMS01-Feel Sense of Purpose in My Life		C112577	FAMS01-Feel Sense of Purpose in My Life	Functional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.	FAMS - Feel Sense of Purpose in My Life
	FAMS01-Get Emotional Support From Family		C112589	FAMS01-Get Emotional Support From Family	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.	FAMS - Get Emotional Support From Family
	FAMS01-Have Trouble Controlling My Urine		C112604	FAMS01-Have Trouble Controlling My Urine	Functional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.	FAMS - Trouble Controlling My Urine
	FAMS01-Heat Worsens My Symptoms		C112603	FAMS01-Heat Worsens My Symptoms	Functional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.	FAMS - Heat Worsens My Symptoms
	FAMS01-I Am Able to Enjoy Life		C112567	FAMS01-I Am Able to Enjoy Life	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.	FAMS - I Am Able to Enjoy Life
	FAMS01-I Am Able to Work		C112552	FAMS01-I Am Able to Work	Functional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).	FAMS - I Am Able to Work
	FAMS01-I Am Bothered by Fevers		C112607	FAMS01-I Am Bothered by Fevers	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).	FAMS - Bothered by Fevers
	FAMS01-I Am Bothered by Headaches		C112563	FAMS01-I Am Bothered by Headaches	Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.	FAMS - Bothered by Headaches
	FAMS01-I Am Bothered by Muscle Pains		C112564	FAMS01-I Am Bothered by Muscle Pains	Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.	FAMS - Bothered by Muscle Pains
	FAMS01-I Am Bothered by Muscle Spasms		C112608	FAMS01-I Am Bothered by Muscle Spasms	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.	FAMS - Bothered by Muscle Spasms
	FAMS01-I Am Bothered by the Chills		C112606	FAMS01-I Am Bothered by the Chills	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.	FAMS - Bothered by Chills
	FAMS01-I Am Depressed About My Condition		C112569	FAMS01-I Am Depressed About My Condition	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.	FAMS - Depressed About My Condition
	FAMS01-I Am Forced to Spend Time in Bed		C112596	FAMS01-I Am Forced to Spend Time in Bed	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.	FAMS - Forced to Spend Time in Bed
	FAMS01-I Am Frustrated by My Condition		C112576	FAMS01-I Am Frustrated by My Condition	Functional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.	FAMS - I Am Frustrated by My Condition
	FAMS01-I Am Satisfied With My Sex Life		C112598	FAMS01-I Am Satisfied With My Sex Life	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.	FAMS - Satisfied With My Sex Life
	FAMS01-I Am Sleeping Well		C112602	FAMS01-I Am Sleeping Well	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.	FAMS - I Am Sleeping Well
	FAMS01-I Feel Close to My Friends		C112588	FAMS01-I Feel Close to My Friends	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.	FAMS - Feel Close to My Friends
	FAMS01-I Feel Close to My Partner		C112597	FAMS01-I Feel Close to My Partner	Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).	FAMS - Feel Close to My Partner
	FAMS01-I Feel Ill		C112560	FAMS01-I Feel Ill	Functional Assessment of Multiple Sclerosis - Symptoms: I feel ill.	FAMS - I Feel Ill
	FAMS01-I Feel Left Out of Things		C112594	FAMS01-I Feel Left Out of Things	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.	FAMS - Feel Left Out of Things
	FAMS01-I Feel Motivated to Do Things		C112578	FAMS01-I Feel Motivated to Do Things	Functional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.	FAMS - Feel Motivated to Do Things
	FAMS01-I Feel Nervous		C112600	FAMS01-I Feel Nervous	Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.	FAMS - I Feel Nervous
	FAMS01-I Feel Sad		C112565	FAMS01-I Feel Sad	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.	FAMS - I Feel Sad
	FAMS01-I Feel Tired		C112580	FAMS01-I Feel Tired	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.	FAMS - I Feel Tired
	FAMS01-I Feel Trapped by My Condition		C112568	FAMS01-I Feel Trapped by My Condition	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.	FAMS - Feel Trapped by My Condition
	FAMS01-I Feel Useless		C112570	FAMS01-I Feel Useless	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.	FAMS - I Feel Useless
	FAMS01-I Feel Weak All Over		C112561	FAMS01-I Feel Weak All Over	Functional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.	FAMS - I Feel Weak All Over
	FAMS01-I Get Support From My Friends		C112590	FAMS01-I Get Support From My Friends	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.	FAMS - Get Support From Friends
	FAMS01-I Have a Lack of Energy		C112579	FAMS01-I Have a Lack of Energy	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.	FAMS - Have a Lack of Energy
	FAMS01-I Have Accepted My Illness		C112573	FAMS01-I Have Accepted My Illness	Functional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.	FAMS - I Have Accepted My Illness
	FAMS01-I Have Nausea		C112558	FAMS01-I Have Nausea	Functional Assessment of Multiple Sclerosis - Symptoms: I have nausea.	FAMS - I Have Nausea
	FAMS01-I Have Pain		C112559	FAMS01-I Have Pain	Functional Assessment of Multiple Sclerosis - Symptoms: I have pain.	FAMS - I Have Pain
	FAMS01-I Have Pain in My Joints		C112562	FAMS01-I Have Pain in My Joints	Functional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.	FAMS - I Have Pain in My Joints
	FAMS01-I Have Strength in My Legs		C112555	FAMS01-I Have Strength in My Legs	Functional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.	FAMS - I Have Strength in My Legs
	FAMS01-I Have Trouble Concentrating		C112585	FAMS01-I Have Trouble Concentrating	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.	FAMS - Trouble Concentrating
	FAMS01-I Have Trouble Learning New Tasks		C112587	FAMS01-I Have Trouble Learning New Tasks	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.	FAMS - Trouble Learning New Tasks or Directions
	FAMS01-I Have Trouble Remembering Things		C112584	FAMS01-I Have Trouble Remembering Things	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.	FAMS - Trouble Remembering Things
	FAMS01-I Have Trouble Walking		C112553	FAMS01-I Have Trouble Walking	Functional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.	FAMS - I Have Trouble Walking
	FAMS01-I Need to Rest During the Day		C112583	FAMS01-I Need to Rest During the Day	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.	FAMS - Need to Rest During the Day
	FAMS01-I Urinate More Frequently		C112605	FAMS01-I Urinate More Frequently	Functional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.	FAMS - Urinate More Frequently Than Usual
	FAMS01-Limit My Social Activity		C112554	FAMS01-Limit My Social Activity	Functional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.	FAMS - Limit Social Activity Because of Condition
	FAMS01-Losing Hope Against Illness		C112566	FAMS01-Losing Hope Against Illness	Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.	FAMS - Losing Hope in Fight Against My Illness
	FAMS01-My Family Has Accepted My Illness		C112591	FAMS01-My Family Has Accepted My Illness	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.	FAMS - Family Has Accepted My Illness
	FAMS01-My Thinking Is Slower Than Before		C112586	FAMS01-My Thinking Is Slower Than Before	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.	FAMS - My Thinking is Slower Than Before
	FAMS01-My Work Is Fulfilling		C112572	FAMS01-My Work Is Fulfilling	Functional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.	FAMS - My Work is Fulfilling
	FAMS01-Satisfied Communication Illness		C112592	FAMS01-Satisfied Communication Illness	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.	FAMS - Satisfied With Family Communication About My Illness
	FAMS01-Satisfied With How I Am Coping		C112599	FAMS01-Satisfied With How I Am Coping	Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.	FAMS - Satisfied With How I Am Coping With Illness
	FAMS01-Take My Condition Into Account		C112557	FAMS01-Take My Condition Into Account	Functional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.	FAMS - Have to Take Condition Into Account When Making Plans
	FAMS01-Trouble Finishing Things		C112582	FAMS01-Trouble Finishing Things	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.	FAMS - Trouble Finishing Things Because I Am Tired
	FAMS01-Trouble Getting Around in Public		C112556	FAMS01-Trouble Getting Around in Public	Functional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.	FAMS - Trouble Getting Around in Public Places
	FAMS01-Trouble Meeting Needs of Family		C112551	FAMS01-Trouble Meeting Needs of Family	Functional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.	FAMS - Have Trouble Meeting Needs of Family Because of My Condition
	FAMS01-Trouble Starting Things		C112581	FAMS01-Trouble Starting Things	Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.	FAMS - Trouble Starting Things Because I Am Tired
	FAMS01-Trouble Understanding Worsening		C112593	FAMS01-Trouble Understanding Worsening	Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.	FAMS - Family Has Trouble Understanding When My Condition Gets Worse
	FAMS01-Worry My Condition Will Get Worse		C112601	FAMS01-Worry My Condition Will Get Worse	Functional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.	FAMS - Worry My Condition Will Get Worse
Back to top
CL.C105138.GCGI TESTCD	QS-General Clinical Global Impressions Questionnaire Test Code (GCGI TESTCD)	text Extensible: No	C105138	QS-General Clinical Global Impressions Questionnaire Test Code	General Clinical Global Impressions test code.	CDISC Questionnaire GCGI v1 Test Code Terminology
	GCGI0101		C105278	GCGI01-Global Severity of Pain	General Clinical Global Impressions - Global severity of pain.	GCGI - Global Severity of Pain
	GCGI0102		C105279	GCGI01-Global Improvement of Pain	General Clinical Global Impressions - Global improvement of pain.	GCGI - Global Improvement of Pain
	GCGI0103		C105280	GCGI01-Global Disease Status of Pain	General Clinical Global Impressions - Global disease status of pain.	GCGI - Global Disease Status of Pain
	GCGI0104		C105281	GCGI01-Pain Treatment Preference	General Clinical Global Impressions - Pain treatment preference.	GCGI - Pain Treatment Preference
	GCGI0105		C105282	GCGI01-Global Rating of Pain Mediation	General Clinical Global Impressions - Global rating of pain medication.	GCGI - Global Rating of Pain Medication
Back to top
CL.C105137.GCGI TEST	QS-General Clinical Global Impressions Questionnaire Test Name (GCGI TEST)	text Extensible: No	C105137	QS-General Clinical Global Impressions Questionnaire Test Name	General Clinical Global Impressions test name.	CDISC Questionnaire GCGI v1 Test Name Terminology
	GCGI01-Global Disease Status of Pain		C105280	GCGI01-Global Disease Status of Pain	General Clinical Global Impressions - Global disease status of pain.	GCGI - Global Disease Status of Pain
	GCGI01-Global Improvement of Pain		C105279	GCGI01-Global Improvement of Pain	General Clinical Global Impressions - Global improvement of pain.	GCGI - Global Improvement of Pain
	GCGI01-Global Rating of Pain Mediation		C105282	GCGI01-Global Rating of Pain Mediation	General Clinical Global Impressions - Global rating of pain medication.	GCGI - Global Rating of Pain Medication
	GCGI01-Global Severity of Pain		C105278	GCGI01-Global Severity of Pain	General Clinical Global Impressions - Global severity of pain.	GCGI - Global Severity of Pain
	GCGI01-Pain Treatment Preference		C105281	GCGI01-Pain Treatment Preference	General Clinical Global Impressions - Pain treatment preference.	GCGI - Pain Treatment Preference
Back to top
CL.C103467.GAD-7 TESTCD	QS-Generalized Anxiety Disorder - 7 Questionnaire Test Code (GAD-7 TESTCD)	text Extensible: No	C103467	QS-Generalized Anxiety Disorder - 7 Questionnaire Test Code	Generalized Anxiety Disorder - 7 test code.	CDISC Questionnaire GAD-7 Test Code Terminology
	GAD0101		C103565	GAD01-Feeling Nervous Anxious or On Edge	Generalized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.	GAD-7 - Feeling Nervous Anxious or On Edge
	GAD0102		C103566	GAD01-Not Able to Stop/Control Worrying	Generalized Anxiety Disorder - 7 - Not being able to stop or control worrying.	GAD-7 - Not Being Able to Stop or Control Worrying
	GAD0103		C103567	GAD01-Worrying Too Much About Things	Generalized Anxiety Disorder - 7 - Worrying too much about different things.	GAD-7 - Worrying Too Much About Different Things
	GAD0104		C103568	GAD01-Trouble Relaxing	Generalized Anxiety Disorder - 7 - Trouble relaxing.	GAD-7 - Trouble Relaxing
	GAD0105		C103569	GAD01-Being Restless Hard to Sit Still	Generalized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.	GAD-7 - Being so Restless That it is Hard to Sit Still
	GAD0106		C103570	GAD01-Becoming Easily Annoyed/Irritable	Generalized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.	GAD-7 - Becoming Easily Annoyed or Irritable
	GAD0107		C103571	GAD01-Feel Afraid/Something Awful Happen	Generalized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.	GAD-7 - Feel Afraid as if Something Awful Might Happen
	GAD0108		C103572	GAD01-Difficult to Work/Take Care Things	Generalized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?	GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
	GAD0109		C113886	GAD01-Total Score	Generalized Anxiety Disorder - 7 - Total score.	GAD-7 - Total Score
Back to top
CL.C103466.GAD-7 TEST	QS-Generalized Anxiety Disorder - 7 Questionnaire Test Name (GAD-7 TEST)	text Extensible: No	C103466	QS-Generalized Anxiety Disorder - 7 Questionnaire Test Name	Generalized Anxiety Disorder - 7 test name.	CDISC Questionnaire GAD-7 Test Name Terminology
	GAD01-Becoming Easily Annoyed/Irritable		C103570	GAD01-Becoming Easily Annoyed/Irritable	Generalized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.	GAD-7 - Becoming Easily Annoyed or Irritable
	GAD01-Being Restless Hard to Sit Still		C103569	GAD01-Being Restless Hard to Sit Still	Generalized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.	GAD-7 - Being so Restless That it is Hard to Sit Still
	GAD01-Difficult to Work/Take Care Things		C103572	GAD01-Difficult to Work/Take Care Things	Generalized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?	GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
	GAD01-Feel Afraid/Something Awful Happen		C103571	GAD01-Feel Afraid/Something Awful Happen	Generalized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.	GAD-7 - Feel Afraid as if Something Awful Might Happen
	GAD01-Feeling Nervous Anxious or On Edge		C103565	GAD01-Feeling Nervous Anxious or On Edge	Generalized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.	GAD-7 - Feeling Nervous Anxious or On Edge
	GAD01-Not Able to Stop/Control Worrying		C103566	GAD01-Not Able to Stop/Control Worrying	Generalized Anxiety Disorder - 7 - Not being able to stop or control worrying.	GAD-7 - Not Being Able to Stop or Control Worrying
	GAD01-Total Score		C113886	GAD01-Total Score	Generalized Anxiety Disorder - 7 - Total score.	GAD-7 - Total Score
	GAD01-Trouble Relaxing		C103568	GAD01-Trouble Relaxing	Generalized Anxiety Disorder - 7 - Trouble relaxing.	GAD-7 - Trouble Relaxing
	GAD01-Worrying Too Much About Things		C103567	GAD01-Worrying Too Much About Things	Generalized Anxiety Disorder - 7 - Worrying too much about different things.	GAD-7 - Worrying Too Much About Different Things
Back to top
CL.C106663.GDS TESTCD	QS-Geriatric Depression Scale Questionnaire Test Code (GDS TESTCD)	text Extensible: No	C106663	QS-Geriatric Depression Scale Questionnaire Test Code	Geriatric Depression Scale test code.	CDISC Questionnaire GDS Test Code Terminology
	GDS0101		C106764	GDS01-Satisfied With Life	Geriatric Depression Scale - Are you basically satisfied with your life?	GDS - Basically Satisfied With Life
	GDS0102		C106765	GDS01-Dropped Activities and Interests	Geriatric Depression Scale - Have you dropped many of your activities and interests?	GDS - Dropped Activities and Interests
	GDS0103		C106766	GDS01-Life Is Empty	Geriatric Depression Scale - Do you feel that your life is empty?	GDS - Feel Life Is Empty
	GDS0104		C106767	GDS01-Bored Often	Geriatric Depression Scale - Do you often get bored?	GDS - Often Get Bored
	GDS0105		C106768	GDS01-Hopeful About Future	Geriatric Depression Scale - Are you hopeful about the future?	GDS - Hopeful About Future
	GDS0106		C106769	GDS01-Bothered by Thoughts	Geriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?	GDS - Bothered by Thoughts
	GDS0107		C106770	GDS01-Good Spirits Most of Time	Geriatric Depression Scale - Are you in good spirits most of the time?	GDS - Good Spirits Most of Time
	GDS0108		C106771	GDS01-Afraid of Something Bad Happening	Geriatric Depression Scale - Are you afraid that something bad is going to happen to you?	GDS - Afraid of Something Bad Happening
	GDS0109		C106772	GDS01-Feel Happy Most of Time	Geriatric Depression Scale - Do you feel happy most of the time?	GDS - Feel Happy Most of Time
	GDS0110		C106773	GDS01-Often Feel Helpless	Geriatric Depression Scale - Do you often feel helpless?	GDS - Often Feel Helpless
	GDS0111		C106774	GDS01-Get Restless and Fidgety	Geriatric Depression Scale - Do you often get restless and fidgety?	GDS - Get Restless and Fidgety
	GDS0112		C106775	GDS01-Prefer to Stay Home	Geriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?	GDS - Prefer to Stay Home
	GDS0113		C106776	GDS01-Worry About Future	Geriatric Depression Scale - Do you frequently worry about the future?	GDS - Frequently Worry About Future
	GDS0114		C106777	GDS01-Memory Problems	Geriatric Depression Scale - Do you feel you have more problems with memory than most?	GDS - More Memory Problems Than Most
	GDS0115		C106778	GDS01-Wonderful to Be Alive	Geriatric Depression Scale - Do you think it is wonderful to be alive now?	GDS - Think Wonderful to Be Alive
	GDS0116		C106779	GDS01-Feel Downhearted and Blue	Geriatric Depression Scale - Do you often feel downhearted and blue?	GDS - Feel Downhearted and Blue
	GDS0117		C106780	GDS01-Feel Worthless	Geriatric Depression Scale - Do you feel pretty worthless the way you are now?	GDS - Feel Worthless
	GDS0118		C106781	GDS01-Worry About the Past	Geriatric Depression Scale - Do you worry a lot about the past?	GDS - Worry About the Past
	GDS0119		C106782	GDS01-Find Life Exciting	Geriatric Depression Scale - Do you find life very exciting?	GDS - Find Life Exciting
	GDS0120		C106783	GDS01-Hard to Start New Projects	Geriatric Depression Scale - Is it hard for you to get started on new projects?	GDS - Hard to Start New Projects
	GDS0121		C106784	GDS01-Feel Full of Energy	Geriatric Depression Scale - Do you feel full of energy?	GDS - Feel Full of Energy
	GDS0122		C106785	GDS01-Feel Hopeless	Geriatric Depression Scale - Do you feel that your situation is hopeless?	GDS - Feel Situation Is Hopeless
	GDS0123		C106786	GDS01-Most People Better Off Than You	Geriatric Depression Scale - Do you think that most people are better off than you are?	GDS - Think Most People Better Off Than You
	GDS0124		C106787	GDS01-Often Upset Over Little Things	Geriatric Depression Scale -Do you frequently get upset over little things?	GDS - Often Upset Over Little Things
	GDS0125		C106788	GDS01-Frequently Feel Like Crying	Geriatric Depression Scale - Do you frequently feel like crying?	GDS - Frequently Feel Like Crying
	GDS0126		C106789	GDS01-Trouble Concentrating	Geriatric Depression Scale - Do you have trouble concentrating?	GDS - Have Trouble Concentrating
	GDS0127		C106790	GDS01-Enjoy Getting Up in the Morning	Geriatric Depression Scale - Do you enjoy getting up in the morning?	GDS - Enjoy Getting Up in the Morning
	GDS0128		C106791	GDS01-Avoid Social Gatherings	Geriatric Depression Scale - Do you prefer to avoid social gatherings?	GDS - Prefer to Avoid Social Gatherings
	GDS0129		C106792	GDS01-Easy to Make Decisions	Geriatric Depression Scale - Is it easy for you to make decisions?	GDS - Easy to Make Decisions
	GDS0130		C106793	GDS01-Mind as Clear as It Used to Be	Geriatric Depression Scale - Is your mind as clear as it used to be?	GDS - Mind as Clear as It Used to Be
Back to top
CL.C106662.GDS TEST	QS-Geriatric Depression Scale Questionnaire Test Name (GDS TEST)	text Extensible: No	C106662	QS-Geriatric Depression Scale Questionnaire Test Name	Geriatric Depression Scale test name.	CDISC Questionnaire GDS Test Name Terminology
	GDS01-Afraid of Something Bad Happening		C106771	GDS01-Afraid of Something Bad Happening	Geriatric Depression Scale - Are you afraid that something bad is going to happen to you?	GDS - Afraid of Something Bad Happening
	GDS01-Avoid Social Gatherings		C106791	GDS01-Avoid Social Gatherings	Geriatric Depression Scale - Do you prefer to avoid social gatherings?	GDS - Prefer to Avoid Social Gatherings
	GDS01-Bored Often		C106767	GDS01-Bored Often	Geriatric Depression Scale - Do you often get bored?	GDS - Often Get Bored
	GDS01-Bothered by Thoughts		C106769	GDS01-Bothered by Thoughts	Geriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?	GDS - Bothered by Thoughts
	GDS01-Dropped Activities and Interests		C106765	GDS01-Dropped Activities and Interests	Geriatric Depression Scale - Have you dropped many of your activities and interests?	GDS - Dropped Activities and Interests
	GDS01-Easy to Make Decisions		C106792	GDS01-Easy to Make Decisions	Geriatric Depression Scale - Is it easy for you to make decisions?	GDS - Easy to Make Decisions
	GDS01-Enjoy Getting Up in the Morning		C106790	GDS01-Enjoy Getting Up in the Morning	Geriatric Depression Scale - Do you enjoy getting up in the morning?	GDS - Enjoy Getting Up in the Morning
	GDS01-Feel Downhearted and Blue		C106779	GDS01-Feel Downhearted and Blue	Geriatric Depression Scale - Do you often feel downhearted and blue?	GDS - Feel Downhearted and Blue
	GDS01-Feel Full of Energy		C106784	GDS01-Feel Full of Energy	Geriatric Depression Scale - Do you feel full of energy?	GDS - Feel Full of Energy
	GDS01-Feel Happy Most of Time		C106772	GDS01-Feel Happy Most of Time	Geriatric Depression Scale - Do you feel happy most of the time?	GDS - Feel Happy Most of Time
	GDS01-Feel Hopeless		C106785	GDS01-Feel Hopeless	Geriatric Depression Scale - Do you feel that your situation is hopeless?	GDS - Feel Situation Is Hopeless
	GDS01-Feel Worthless		C106780	GDS01-Feel Worthless	Geriatric Depression Scale - Do you feel pretty worthless the way you are now?	GDS - Feel Worthless
	GDS01-Find Life Exciting		C106782	GDS01-Find Life Exciting	Geriatric Depression Scale - Do you find life very exciting?	GDS - Find Life Exciting
	GDS01-Frequently Feel Like Crying		C106788	GDS01-Frequently Feel Like Crying	Geriatric Depression Scale - Do you frequently feel like crying?	GDS - Frequently Feel Like Crying
	GDS01-Get Restless and Fidgety		C106774	GDS01-Get Restless and Fidgety	Geriatric Depression Scale - Do you often get restless and fidgety?	GDS - Get Restless and Fidgety
	GDS01-Good Spirits Most of Time		C106770	GDS01-Good Spirits Most of Time	Geriatric Depression Scale - Are you in good spirits most of the time?	GDS - Good Spirits Most of Time
	GDS01-Hard to Start New Projects		C106783	GDS01-Hard to Start New Projects	Geriatric Depression Scale - Is it hard for you to get started on new projects?	GDS - Hard to Start New Projects
	GDS01-Hopeful About Future		C106768	GDS01-Hopeful About Future	Geriatric Depression Scale - Are you hopeful about the future?	GDS - Hopeful About Future
	GDS01-Life Is Empty		C106766	GDS01-Life Is Empty	Geriatric Depression Scale - Do you feel that your life is empty?	GDS - Feel Life Is Empty
	GDS01-Memory Problems		C106777	GDS01-Memory Problems	Geriatric Depression Scale - Do you feel you have more problems with memory than most?	GDS - More Memory Problems Than Most
	GDS01-Mind as Clear as It Used to Be		C106793	GDS01-Mind as Clear as It Used to Be	Geriatric Depression Scale - Is your mind as clear as it used to be?	GDS - Mind as Clear as It Used to Be
	GDS01-Most People Better Off Than You		C106786	GDS01-Most People Better Off Than You	Geriatric Depression Scale - Do you think that most people are better off than you are?	GDS - Think Most People Better Off Than You
	GDS01-Often Feel Helpless		C106773	GDS01-Often Feel Helpless	Geriatric Depression Scale - Do you often feel helpless?	GDS - Often Feel Helpless
	GDS01-Often Upset Over Little Things		C106787	GDS01-Often Upset Over Little Things	Geriatric Depression Scale -Do you frequently get upset over little things?	GDS - Often Upset Over Little Things
	GDS01-Prefer to Stay Home		C106775	GDS01-Prefer to Stay Home	Geriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?	GDS - Prefer to Stay Home
	GDS01-Satisfied With Life		C106764	GDS01-Satisfied With Life	Geriatric Depression Scale - Are you basically satisfied with your life?	GDS - Basically Satisfied With Life
	GDS01-Trouble Concentrating		C106789	GDS01-Trouble Concentrating	Geriatric Depression Scale - Do you have trouble concentrating?	GDS - Have Trouble Concentrating
	GDS01-Wonderful to Be Alive		C106778	GDS01-Wonderful to Be Alive	Geriatric Depression Scale - Do you think it is wonderful to be alive now?	GDS - Think Wonderful to Be Alive
	GDS01-Worry About Future		C106776	GDS01-Worry About Future	Geriatric Depression Scale - Do you frequently worry about the future?	GDS - Frequently Worry About Future
	GDS01-Worry About the Past		C106781	GDS01-Worry About the Past	Geriatric Depression Scale - Do you worry a lot about the past?	GDS - Worry About the Past
Back to top
CL.C106665.GDS SHORT FORM TESTCD	QS-Geriatric Depression Scale Short Form Questionnaire Test Code (GDS SHORT FORM TESTCD)	text Extensible: No	C106665	QS-Geriatric Depression Scale Short Form Questionnaire Test Code	Geriatric Depression Scale Short Form test code.	CDISC Questionnaire GDS-SF Test Code Terminology
	GDS0201		C106794	GDS02-Satisfied With Life	Geriatric Depression Scale Short Form - Are you basically satisfied with your life?	GDS-SF - Basically Satisfied With Life
	GDS0202		C106795	GDS02-Dropped Activities and Interests	Geriatric Depression Scale Short Form - Have you dropped many of your activities and interests?	GDS-SF - Dropped Activities and Interests
	GDS0203		C106796	GDS02-Life Is Empty	Geriatric Depression Scale Short Form - Do you feel that your life is empty?	GDS-SF - Feel Life Is Empty
	GDS0204		C106797	GDS02-Bored Often	Geriatric Depression Scale Short Form - Do you often get bored?	GDS-SF - Often Get Bored
	GDS0205		C106798	GDS02-Good Spirits Most of Time	Geriatric Depression Scale Short Form - Are you in good spirits most of the time?	GDS-SF - Good Spirits Most of Time
	GDS0206		C106799	GDS02-Afraid of Something Bad Happening	Geriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you?	GDS-SF - Afraid of Something Bad Happening
	GDS0207		C106800	GDS02-Feel Happy Most of Time	Geriatric Depression Scale Short Form - Do you feel happy most of the time?	GDS-SF - Feel Happy Most of Time
	GDS0208		C106801	GDS02-Often Feel Helpless	Geriatric Depression Scale Short Form - Do you often feel helpless?	GDS-SF - Often Feel Helpless
	GDS0209		C106802	GDS02-Prefer to Stay Home	Geriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things?	GDS-SF - Prefer to Stay Home
	GDS0210		C106803	GDS02-Memory Problems	Geriatric Depression Scale Short Form - Do you feel you have more problems with memory than most?	GDS-SF - More Memory Problems Than Most
	GDS0211		C106804	GDS02-Wonderful to Be Alive	Geriatric Depression Scale Short Form - Do you think it is wonderful to be alive now?	GDS-SF - Think Wonderful to Be Alive
	GDS0212		C106805	GDS02-Feel Worthless	Geriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now?	GDS-SF - Feel Worthless
	GDS0213		C106806	GDS02-Feel Full of Energy	Geriatric Depression Scale Short Form - Do you feel full of energy?	GDS-SF - Feel Full of Energy
	GDS0214		C106807	GDS02-Feel Hopeless	Geriatric Depression Scale Short Form - Do you feel that your situation is hopeless?	GDS-SF - Feel Situation is Hopeless
	GDS0215		C106808	GDS02-Most People Better Off Than You	Geriatric Depression Scale Short Form - Do you think that most people are better off than you are?	GDS-SF - Think Most People Better Off Than You
Back to top
CL.C106664.GDS SHORT FORM TEST	QS-Geriatric Depression Scale Short Form Questionnaire Test Name (GDS SHORT FORM TEST)	text Extensible: No	C106664	QS-Geriatric Depression Scale Short Form Questionnaire Test Name	Geriatric Depression Scale Short Form test name.	CDISC Questionnaire GDS-SF Test Name Terminology
	GDS02-Afraid of Something Bad Happening		C106799	GDS02-Afraid of Something Bad Happening	Geriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you?	GDS-SF - Afraid of Something Bad Happening
	GDS02-Bored Often		C106797	GDS02-Bored Often	Geriatric Depression Scale Short Form - Do you often get bored?	GDS-SF - Often Get Bored
	GDS02-Dropped Activities and Interests		C106795	GDS02-Dropped Activities and Interests	Geriatric Depression Scale Short Form - Have you dropped many of your activities and interests?	GDS-SF - Dropped Activities and Interests
	GDS02-Feel Full of Energy		C106806	GDS02-Feel Full of Energy	Geriatric Depression Scale Short Form - Do you feel full of energy?	GDS-SF - Feel Full of Energy
	GDS02-Feel Happy Most of Time		C106800	GDS02-Feel Happy Most of Time	Geriatric Depression Scale Short Form - Do you feel happy most of the time?	GDS-SF - Feel Happy Most of Time
	GDS02-Feel Hopeless		C106807	GDS02-Feel Hopeless	Geriatric Depression Scale Short Form - Do you feel that your situation is hopeless?	GDS-SF - Feel Situation is Hopeless
	GDS02-Feel Worthless		C106805	GDS02-Feel Worthless	Geriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now?	GDS-SF - Feel Worthless
	GDS02-Good Spirits Most of Time		C106798	GDS02-Good Spirits Most of Time	Geriatric Depression Scale Short Form - Are you in good spirits most of the time?	GDS-SF - Good Spirits Most of Time
	GDS02-Life Is Empty		C106796	GDS02-Life Is Empty	Geriatric Depression Scale Short Form - Do you feel that your life is empty?	GDS-SF - Feel Life Is Empty
	GDS02-Memory Problems		C106803	GDS02-Memory Problems	Geriatric Depression Scale Short Form - Do you feel you have more problems with memory than most?	GDS-SF - More Memory Problems Than Most
	GDS02-Most People Better Off Than You		C106808	GDS02-Most People Better Off Than You	Geriatric Depression Scale Short Form - Do you think that most people are better off than you are?	GDS-SF - Think Most People Better Off Than You
	GDS02-Often Feel Helpless		C106801	GDS02-Often Feel Helpless	Geriatric Depression Scale Short Form - Do you often feel helpless?	GDS-SF - Often Feel Helpless
	GDS02-Prefer to Stay Home		C106802	GDS02-Prefer to Stay Home	Geriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things?	GDS-SF - Prefer to Stay Home
	GDS02-Satisfied With Life		C106794	GDS02-Satisfied With Life	Geriatric Depression Scale Short Form - Are you basically satisfied with your life?	GDS-SF - Basically Satisfied With Life
	GDS02-Wonderful to Be Alive		C106804	GDS02-Wonderful to Be Alive	Geriatric Depression Scale Short Form - Do you think it is wonderful to be alive now?	GDS-SF - Think Wonderful to Be Alive
Back to top
CL.C101819.HAMA TESTCD	QS-Hamilton Anxiety Rating Scale Questionnaire Test Code (HAMA TESTCD)	text Extensible: No	C101819	QS-Hamilton Anxiety Rating Scale Questionnaire Test Code	Hamilton Anxiety Rating Scale test code.	CDISC Questionnaire HAMA Test Code Terminology
	HAMA101		C102073	HAMA1-Anxious Mood	Hamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability.	HAMA - Anxious Mood
	HAMA102		C102074	HAMA1-Tension	Hamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.	HAMA - Tension
	HAMA103		C102075	HAMA1-Fears	Hamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds.	HAMA - Fears
	HAMA104		C102076	HAMA1-Insomnia	Hamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.	HAMA - Insomnia
	HAMA105		C102077	HAMA1-Intellectual	Hamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory.	HAMA - Intellectual
	HAMA106		C102078	HAMA1-Depressed Mood	Hamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.	HAMA - Depressed Mood
	HAMA107		C102079	HAMA1-Somatic (Muscular)	Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.	HAMA - Somatic (Muscular)
	HAMA108		C102080	HAMA1-Somatic (Sensory)	Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.	HAMA - Somatic (Sensory)
	HAMA109		C102081	HAMA1-Cardiovascular Symptoms	Hamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.	HAMA - Cardiovascular Symptoms
	HAMA110		C102082	HAMA1-Respiratory Symptoms	Hamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea.	HAMA - Respiratory Symptoms
	HAMA111		C102083	HAMA1-Gastrointestinal Symptoms	Hamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.	HAMA - Gastrointestinal Symptoms
	HAMA112		C102084	HAMA1-Genitourinary Symptoms	Hamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.	HAMA - Genitourinary Symptoms
	HAMA113		C102085	HAMA1-Autonomic Symptoms	Hamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair.	HAMA - Autonomic Symptoms
	HAMA114		C102086	HAMA1-Behavior at Interview	Hamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.	HAMA - Behavior at Interview
Back to top
CL.C101820.HAMA TEST	QS-Hamilton Anxiety Rating Scale Questionnaire Test Name (HAMA TEST)	text Extensible: No	C101820	QS-Hamilton Anxiety Rating Scale Questionnaire Test Name	Hamilton Anxiety Rating Scale test name.	CDISC Questionnaire HAMA Test Name Terminology
	HAMA1-Anxious Mood		C102073	HAMA1-Anxious Mood	Hamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability.	HAMA - Anxious Mood
	HAMA1-Autonomic Symptoms		C102085	HAMA1-Autonomic Symptoms	Hamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair.	HAMA - Autonomic Symptoms
	HAMA1-Behavior at Interview		C102086	HAMA1-Behavior at Interview	Hamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.	HAMA - Behavior at Interview
	HAMA1-Cardiovascular Symptoms		C102081	HAMA1-Cardiovascular Symptoms	Hamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.	HAMA - Cardiovascular Symptoms
	HAMA1-Depressed Mood		C102078	HAMA1-Depressed Mood	Hamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.	HAMA - Depressed Mood
	HAMA1-Fears		C102075	HAMA1-Fears	Hamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds.	HAMA - Fears
	HAMA1-Gastrointestinal Symptoms		C102083	HAMA1-Gastrointestinal Symptoms	Hamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.	HAMA - Gastrointestinal Symptoms
	HAMA1-Genitourinary Symptoms		C102084	HAMA1-Genitourinary Symptoms	Hamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.	HAMA - Genitourinary Symptoms
	HAMA1-Insomnia		C102076	HAMA1-Insomnia	Hamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.	HAMA - Insomnia
	HAMA1-Intellectual		C102077	HAMA1-Intellectual	Hamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory.	HAMA - Intellectual
	HAMA1-Respiratory Symptoms		C102082	HAMA1-Respiratory Symptoms	Hamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea.	HAMA - Respiratory Symptoms
	HAMA1-Somatic (Muscular)		C102079	HAMA1-Somatic (Muscular)	Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.	HAMA - Somatic (Muscular)
	HAMA1-Somatic (Sensory)		C102080	HAMA1-Somatic (Sensory)	Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.	HAMA - Somatic (Sensory)
	HAMA1-Tension		C102074	HAMA1-Tension	Hamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.	HAMA - Tension
Back to top
CL.C100138.HAMD 17 TESTCD	QS-Hamilton Depression Rating Scale - 17 Item Test Code (HAMD 17 TESTCD)	text Extensible: No	C100138	QS-Hamilton Depression Rating Scale - 17 Item Test Code	The Hamilton Depression Rating Scale - 17 Item test code.	CDISC Questionnaire HAMD 17 Test Code Terminology
	HAMD101		C100398	HAMD1-Depressed Mood	Hamilton Depression Rating Scale 17 Item - Depressed mood: sadness, hopeless, helpless, worthless.	HAMD-17 - Depressed Mood
	HAMD102		C100399	HAMD1-Feelings of Guilt	Hamilton Depression Rating Scale 17 Item - Feelings of guilt.	HAMD-17 - Feelings of Guilt
	HAMD103		C100400	HAMD1-Suicide	Hamilton Depression Rating Scale 17 Item - Suicide.	HAMD-17 - Suicide
	HAMD104		C100401	HAMD1-Insomnia Early - Early Night	Hamilton Depression Rating Scale 17 Item - Insomnia: early in the night.	HAMD-17 - Insomnia - Early Night
	HAMD105		C100402	HAMD1-Insomnia Middle - Middle Night	Hamilton Depression Rating Scale 17 Item - Insomnia: middle of the night.	HAMD-17 - Insomnia - Middle Night
	HAMD106		C100403	HAMD1-Insomnia Early Hours - Morning	Hamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning.	HAMD-17 - Insomnia - Early Morning
	HAMD107		C100404	HAMD1-Work and Activities	Hamilton Depression Rating Scale 17 Item - Work and activities.	HAMD-17 - Work and Activities
	HAMD108		C100405	HAMD1-Retardation	Hamilton Depression Rating Scale 17 Item - Retardation.	HAMD-17 - Retardation
	HAMD109		C100406	HAMD1-Agitation	Hamilton Depression Rating Scale 17 Item - Agitation.	HAMD-17 - Agitation
	HAMD110		C100407	HAMD1-Anxiety Psychic	Hamilton Depression Rating Scale 17 Item - Anxiety psychic.	HAMD-17 - Psychic Anxiety
	HAMD111		C100408	HAMD1-Anxiety Somatic	Hamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety such as gastro-intestinal (dry mouth, wind, indigestion, diarrhea, cramps, belching), cardiovascular (palpitations, headaches), respiratory (hyperventilation, sighing), urinary frequency, sweating.	HAMD-17 - Somatic Anxiety
	HAMD112		C100409	HAMD1-Somatic Symptoms GI	Hamilton Depression Rating Scale 17 Item - Somatic symptoms gastro-intestinal.	HAMD-17 - Gastrointestinal Somatic Symptoms
	HAMD113		C100410	HAMD1-General Somatic Symptoms	Hamilton Depression Rating Scale 17 Item - General somatic symptoms.	HAMD-17 - General Somatic Symptoms
	HAMD114		C100411	HAMD1-Genital Symptoms	Hamilton Depression Rating Scale 17 Item - Genital symptoms: symptoms such as loss of libido, menstrual disturbances.	HAMD-17 - Genital Symptoms
	HAMD115		C100412	HAMD1-Hypochondriasis	Hamilton Depression Rating Scale 17 Item - Hypochondriasis.	HAMD-17 - Hypochondriasis
	HAMD116A		C100413	HAMD1-Loss of WT According to Patient	Hamilton Depression Rating Scale 17 Item - Loss of weight according to the patient.	HAMD-17 - Loss of Weight According to Patient
	HAMD116B		C100414	HAMD1-Loss of WT According to WK Meas	Hamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements.	HAMD-17 - Loss of Weight According to Weekly Measurements
	HAMD117		C100415	HAMD1-Insight	Hamilton Depression Rating Scale 17 Item - Insight.	HAMD-17 - Insight
	HAMD118		C100416	HAMD1-Total Score	Hamilton Depression Rating Scale 17 Item - Total Score.	HAMD-17 - Total Score
Back to top
CL.C100137.HAMD 17 TEST	QS-Hamilton Depression Rating Scale - 17 Item Test Name (HAMD 17 TEST)	text Extensible: No	C100137	QS-Hamilton Depression Rating Scale - 17 Item Test Name	The Hamilton Depression Rating Scale - 17 Item test name.	CDISC Questionnaire HAMD 17 Test Name Terminology
	HAMD1-Agitation		C100406	HAMD1-Agitation	Hamilton Depression Rating Scale 17 Item - Agitation.	HAMD-17 - Agitation
	HAMD1-Anxiety Psychic		C100407	HAMD1-Anxiety Psychic	Hamilton Depression Rating Scale 17 Item - Anxiety psychic.	HAMD-17 - Psychic Anxiety
	HAMD1-Anxiety Somatic		C100408	HAMD1-Anxiety Somatic	Hamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety such as gastro-intestinal (dry mouth, wind, indigestion, diarrhea, cramps, belching), cardiovascular (palpitations, headaches), respiratory (hyperventilation, sighing), urinary frequency, sweating.	HAMD-17 - Somatic Anxiety
	HAMD1-Depressed Mood		C100398	HAMD1-Depressed Mood	Hamilton Depression Rating Scale 17 Item - Depressed mood: sadness, hopeless, helpless, worthless.	HAMD-17 - Depressed Mood
	HAMD1-Feelings of Guilt		C100399	HAMD1-Feelings of Guilt	Hamilton Depression Rating Scale 17 Item - Feelings of guilt.	HAMD-17 - Feelings of Guilt
	HAMD1-General Somatic Symptoms		C100410	HAMD1-General Somatic Symptoms	Hamilton Depression Rating Scale 17 Item - General somatic symptoms.	HAMD-17 - General Somatic Symptoms
	HAMD1-Genital Symptoms		C100411	HAMD1-Genital Symptoms	Hamilton Depression Rating Scale 17 Item - Genital symptoms: symptoms such as loss of libido, menstrual disturbances.	HAMD-17 - Genital Symptoms
	HAMD1-Hypochondriasis		C100412	HAMD1-Hypochondriasis	Hamilton Depression Rating Scale 17 Item - Hypochondriasis.	HAMD-17 - Hypochondriasis
	HAMD1-Insight		C100415	HAMD1-Insight	Hamilton Depression Rating Scale 17 Item - Insight.	HAMD-17 - Insight
	HAMD1-Insomnia Early - Early Night		C100401	HAMD1-Insomnia Early - Early Night	Hamilton Depression Rating Scale 17 Item - Insomnia: early in the night.	HAMD-17 - Insomnia - Early Night
	HAMD1-Insomnia Early Hours - Morning		C100403	HAMD1-Insomnia Early Hours - Morning	Hamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning.	HAMD-17 - Insomnia - Early Morning
	HAMD1-Insomnia Middle - Middle Night		C100402	HAMD1-Insomnia Middle - Middle Night	Hamilton Depression Rating Scale 17 Item - Insomnia: middle of the night.	HAMD-17 - Insomnia - Middle Night
	HAMD1-Loss of WT According to Patient		C100413	HAMD1-Loss of WT According to Patient	Hamilton Depression Rating Scale 17 Item - Loss of weight according to the patient.	HAMD-17 - Loss of Weight According to Patient
	HAMD1-Loss of WT According to WK Meas		C100414	HAMD1-Loss of WT According to WK Meas	Hamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements.	HAMD-17 - Loss of Weight According to Weekly Measurements
	HAMD1-Retardation		C100405	HAMD1-Retardation	Hamilton Depression Rating Scale 17 Item - Retardation.	HAMD-17 - Retardation
	HAMD1-Somatic Symptoms GI		C100409	HAMD1-Somatic Symptoms GI	Hamilton Depression Rating Scale 17 Item - Somatic symptoms gastro-intestinal.	HAMD-17 - Gastrointestinal Somatic Symptoms
	HAMD1-Suicide		C100400	HAMD1-Suicide	Hamilton Depression Rating Scale 17 Item - Suicide.	HAMD-17 - Suicide
	HAMD1-Total Score		C100416	HAMD1-Total Score	Hamilton Depression Rating Scale 17 Item - Total Score.	HAMD-17 - Total Score
	HAMD1-Work and Activities		C100404	HAMD1-Work and Activities	Hamilton Depression Rating Scale 17 Item - Work and activities.	HAMD-17 - Work and Activities
Back to top
CL.C101821.HAMD 21 TESTCD	QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code (HAMD 21 TESTCD)	text Extensible: No	C101821	QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code	Hamilton Depression Rating Scale 21-Item test code.	CDISC Questionnaire HAMD 21 Test Code Terminology
	HAMD201		C102087	HAMD2-Depressed Mood	Hamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless.	HAMD-21 - Depressed Mood
	HAMD202		C102088	HAMD2-Feelings of Guilt	Hamilton Depression Rating Scale 21 Item - Feelings of guilt.	HAMD-21 - Feelings of Guilt
	HAMD203		C102089	HAMD2-Suicide	Hamilton Depression Rating Scale 21 Item - Suicide.	HAMD-21 - Suicide
	HAMD204		C102090	HAMD2-Insomnia Early	Hamilton Depression Rating Scale 21 Item - Insomnia early.	HAMD-21 - Insomnia Early
	HAMD205		C102091	HAMD2-Insomnia Middle	Hamilton Depression Rating Scale 21 Item - Insomnia middle.	HAMD-21 - Insomnia Middle
	HAMD206		C102092	HAMD2-Insomnia Late	Hamilton Depression Rating Scale 21 Item - Insomnia late.	HAMD-21 - Insomnia Late
	HAMD207		C102093	HAMD2-Work and Activities	Hamilton Depression Rating Scale 21 Item - Work and activities.	HAMD-21 - Work and Activities
	HAMD208		C102094	HAMD2-Retardation	Hamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity).	HAMD-21 - Retardation
	HAMD209		C102095	HAMD2-Agitation	Hamilton Depression Rating Scale 21 Item - Agitation.	HAMD-21 - Agitation
	HAMD210		C102096	HAMD2-Anxiety Psychological	Hamilton Depression Rating Scale 21 Item - Anxiety Psychological.	HAMD-21 - Anxiety Psychological
	HAMD211		C102097	HAMD2-Anxiety Somatic	Hamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency).	HAMD-21 - Anxiety Somatic
	HAMD212		C102098	HAMD2-Somatic Symptoms Gastro-intestinal	Hamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal.	HAMD-21 - Somatic Symptoms Gastro-intestinal
	HAMD213		C102099	HAMD2-Somatic Symptoms General	Hamilton Depression Rating Scale 21 Item - Somatic symptoms general.	HAMD-21 - Somatic Symptoms General
	HAMD214		C102100	HAMD2-Genital Symptoms	Hamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances.	HAMD-21 - Genital Symptoms
	HAMD215		C102101	HAMD2-Hypochondriasis	Hamilton Depression Rating Scale 21 Item - Hypochondriasis.	HAMD-21 - Hypochondriasis
	HAMD216A		C102102	HAMD2-Loss of Weight by History	Hamilton Depression Rating Scale 21 Item - Loss of weight when rating by history.	HAMD-21 - Loss of Weight by History
	HAMD216B		C102103	HAMD2-Loss of Weight Measured	Hamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured.	HAMD-21 - Loss of Weight Measured
	HAMD217		C102104	HAMD2-Insight	Hamilton Depression Rating Scale 21 Item - Insight.	HAMD-21 - Insight
	HAMD218A		C102105	HAMD2-Diurnal Variation	Hamilton Depression Rating Scale 21 Item - Diurnal variation.	HAMD-21 - Diurnal Variation
	HAMD218B		C102106	HAMD2-Diurnal Variation Severity	Hamilton Depression Rating Scale 21 Item - Diurnal variation severity.	HAMD-21 - Diurnal Variation Severity
	HAMD219		C102107	HAMD2-Depersonalization/Derealization	Hamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas.	HAMD-21 - Depersonalization and Derealization
	HAMD220		C102108	HAMD2-Paranoid Symptoms	Hamilton Depression Rating Scale 21 Item - Paranoid symptoms.	HAMD-21 - Paranoid Symptoms
	HAMD221		C102109	HAMD2-Obsessional/Compulsive Symptoms	Hamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms.	HAMD-21 - Obsessional and Compulsive Symptoms
	HAMD222		C102110	HAMD2-Total Score	Hamilton Depression Rating Scale 21 Item - Total score.	HAMD-21 - Total Score
Back to top
CL.C101822.HAMD 21 TEST	QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name (HAMD 21 TEST)	text Extensible: No	C101822	QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name	Hamilton Depression Rating Scale 21-Item test name.	CDISC Questionnaire HAMD 21 Test Name Terminology
	HAMD2-Agitation		C102095	HAMD2-Agitation	Hamilton Depression Rating Scale 21 Item - Agitation.	HAMD-21 - Agitation
	HAMD2-Anxiety Psychological		C102096	HAMD2-Anxiety Psychological	Hamilton Depression Rating Scale 21 Item - Anxiety Psychological.	HAMD-21 - Anxiety Psychological
	HAMD2-Anxiety Somatic		C102097	HAMD2-Anxiety Somatic	Hamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency).	HAMD-21 - Anxiety Somatic
	HAMD2-Depersonalization/Derealization		C102107	HAMD2-Depersonalization/Derealization	Hamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas.	HAMD-21 - Depersonalization and Derealization
	HAMD2-Depressed Mood		C102087	HAMD2-Depressed Mood	Hamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless.	HAMD-21 - Depressed Mood
	HAMD2-Diurnal Variation		C102105	HAMD2-Diurnal Variation	Hamilton Depression Rating Scale 21 Item - Diurnal variation.	HAMD-21 - Diurnal Variation
	HAMD2-Diurnal Variation Severity		C102106	HAMD2-Diurnal Variation Severity	Hamilton Depression Rating Scale 21 Item - Diurnal variation severity.	HAMD-21 - Diurnal Variation Severity
	HAMD2-Feelings of Guilt		C102088	HAMD2-Feelings of Guilt	Hamilton Depression Rating Scale 21 Item - Feelings of guilt.	HAMD-21 - Feelings of Guilt
	HAMD2-Genital Symptoms		C102100	HAMD2-Genital Symptoms	Hamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances.	HAMD-21 - Genital Symptoms
	HAMD2-Hypochondriasis		C102101	HAMD2-Hypochondriasis	Hamilton Depression Rating Scale 21 Item - Hypochondriasis.	HAMD-21 - Hypochondriasis
	HAMD2-Insight		C102104	HAMD2-Insight	Hamilton Depression Rating Scale 21 Item - Insight.	HAMD-21 - Insight
	HAMD2-Insomnia Early		C102090	HAMD2-Insomnia Early	Hamilton Depression Rating Scale 21 Item - Insomnia early.	HAMD-21 - Insomnia Early
	HAMD2-Insomnia Late		C102092	HAMD2-Insomnia Late	Hamilton Depression Rating Scale 21 Item - Insomnia late.	HAMD-21 - Insomnia Late
	HAMD2-Insomnia Middle		C102091	HAMD2-Insomnia Middle	Hamilton Depression Rating Scale 21 Item - Insomnia middle.	HAMD-21 - Insomnia Middle
	HAMD2-Loss of Weight by History		C102102	HAMD2-Loss of Weight by History	Hamilton Depression Rating Scale 21 Item - Loss of weight when rating by history.	HAMD-21 - Loss of Weight by History
	HAMD2-Loss of Weight Measured		C102103	HAMD2-Loss of Weight Measured	Hamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured.	HAMD-21 - Loss of Weight Measured
	HAMD2-Obsessional/Compulsive Symptoms		C102109	HAMD2-Obsessional/Compulsive Symptoms	Hamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms.	HAMD-21 - Obsessional and Compulsive Symptoms
	HAMD2-Paranoid Symptoms		C102108	HAMD2-Paranoid Symptoms	Hamilton Depression Rating Scale 21 Item - Paranoid symptoms.	HAMD-21 - Paranoid Symptoms
	HAMD2-Retardation		C102094	HAMD2-Retardation	Hamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity).	HAMD-21 - Retardation
	HAMD2-Somatic Symptoms Gastro-intestinal		C102098	HAMD2-Somatic Symptoms Gastro-intestinal	Hamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal.	HAMD-21 - Somatic Symptoms Gastro-intestinal
	HAMD2-Somatic Symptoms General		C102099	HAMD2-Somatic Symptoms General	Hamilton Depression Rating Scale 21 Item - Somatic symptoms general.	HAMD-21 - Somatic Symptoms General
	HAMD2-Suicide		C102089	HAMD2-Suicide	Hamilton Depression Rating Scale 21 Item - Suicide.	HAMD-21 - Suicide
	HAMD2-Total Score		C102110	HAMD2-Total Score	Hamilton Depression Rating Scale 21 Item - Total score.	HAMD-21 - Total Score
	HAMD2-Work and Activities		C102093	HAMD2-Work and Activities	Hamilton Depression Rating Scale 21 Item - Work and activities.	HAMD-21 - Work and Activities
Back to top
CL.C106667.HAQ-DI TESTCD	QS-Health Assessment Questionnaire Disability Index Test Code (HAQ-DI TESTCD)	text Extensible: No	C106667	QS-Health Assessment Questionnaire Disability Index Test Code	Health Assessment Questionnaire Disability Index test code.	CDISC Questionnaire HAQ-DI Test Code Terminology
	HAQ0101		C106809	HAQ01-Dress Yourself	Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?	HAQ-DI - Able to Dress Yourself
	HAQ0102		C106810	HAQ01-Shampoo Your Hair	Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to shampoo your hair?	HAQ-DI - Able to Shampoo Hair
	HAQ0103		C106811	HAQ01-Stand Up From a Straight Chair	Health Assessment Questionnaire Disability Index - Arising: Are you able to stand up from a straight chair?	HAQ-DI - Able to Stand Up From Chair
	HAQ0104		C106812	HAQ01-Get In and Out of Bed	Health Assessment Questionnaire Disability Index - Arising: Are you able to get in and out of bed?	HAQ-DI - Able to Get In and Out of Bed
	HAQ0105		C106813	HAQ01-Cut Your Meat	Health Assessment Questionnaire Disability Index - Eating: Are you able to cut your meat?	HAQ-DI - Able to Cut Meat
	HAQ0106		C106814	HAQ01-Lift a Full Cup or Glass to Mouth	Health Assessment Questionnaire Disability Index - Eating: Are you able to lift a full cup or glass to your mouth?	HAQ-DI - Able to Lift Cup or Glass to Mouth
	HAQ0107		C106815	HAQ01-Open a New Milk Carton	Health Assessment Questionnaire Disability Index - Eating: Are you able to open a new milk carton?	HAQ-DI - Able to Open Milk Carton
	HAQ0108		C106816	HAQ01-Walk Outdoors on Flat Ground	Health Assessment Questionnaire Disability Index - Walking: Are you able to walk outdoors on flat ground?	HAQ-DI - Able to Walk Outdoors On Flat Ground
	HAQ0109		C106817	HAQ01-Climb Up Five Steps	Health Assessment Questionnaire Disability Index - Walking: Are you able to climb up five steps?	HAQ-DI - Able to Climb Up Steps
	HAQ0110		C106818	HAQ01-Aid: Cane	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Cane.	HAQ-DI - Aids or Devices - Cane
	HAQ0111		C106819	HAQ01-Aid: Walker	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Walker.	HAQ-DI - Aids or Devices - Walker
	HAQ0112		C106820	HAQ01-Aid: Crutches	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Crutches.	HAQ-DI - Aids or Devices - Crutches
	HAQ0113		C106821	HAQ01-Aid: Wheelchair	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Wheelchair.	HAQ-DI - Aids or Devices - Wheelchair
	HAQ0114		C106822	HAQ01-Aid: Devices Used for Dressing	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.).	HAQ-DI - Aids or Devices - Used For Dressing
	HAQ0115		C106823	HAQ01-Aid: Built Up or Special Utensils	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Built up or special utensils.	HAQ-DI - Aids or Devices - Built Up or Special Utensils
	HAQ0116		C106824	HAQ01-Aid: Special or Built Up Chair	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Special or built up chair.	HAQ-DI - Aids or Devices - Special or Built Up Chair
	HAQ0117		C106825	HAQ01-Othr Aid (Dress/Arising/Eat/Walk)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other.	HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Other
	HAQ0118		C106826	HAQ01-Spec Aid (Dress/Arising/Eat/Walk)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify).	HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Specify
	HAQ0119		C106827	HAQ01-Help: Dressing and Grooming	Health Assessment Questionnaire Disability Index - Usually need help from another person: Dressing and Grooming.	HAQ-DI - Help From Another Person - Dressing and Grooming
	HAQ0120		C106828	HAQ01-Help: Arising	Health Assessment Questionnaire Disability Index - Usually need help from another person: Arising.	HAQ-DI - Help From Another Person - Arising
	HAQ0121		C106829	HAQ01-Help: Eating	Health Assessment Questionnaire Disability Index - Usually need help from another person: Eating.	HAQ-DI - Help From Another Person - Eating
	HAQ0122		C106830	HAQ01-Help: Walking	Health Assessment Questionnaire Disability Index - Usually need help from another person: Walking.	HAQ-DI - Help From Another Person - Walking
	HAQ0123		C106831	HAQ01-Wash and Dry Your Body	Health Assessment Questionnaire Disability Index - Hygiene: Are you able to wash and dry your body?	HAQ-DI - Able to Wash and Dry Body
	HAQ0124		C106832	HAQ01-Take a Tub Bath	Health Assessment Questionnaire Disability Index - Hygiene: Are you able to take a tub bath?	HAQ-DI - Able to Take Tub Bath
	HAQ0125		C106833	HAQ01-Get On and Off The Toilet	Health Assessment Questionnaire Disability Index - Hygiene: Are you able to get on and off the toilet?	HAQ-DI - Able to Get On and Off Toilet
	HAQ0126		C106834	HAQ01-Reach-Get Down 5 Lb Obj Above Head	Health Assessment Questionnaire Disability Index - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?	HAQ-DI - Able to Reach and Get Down Object From Above Head
	HAQ0127		C106835	HAQ01-Bend Down Pick Up Clothing - Floor	Health Assessment Questionnaire Disability Index - Reach: Are you able to bend down to pick up clothing from the floor?	HAQ-DI - Able to Bend Down and Pick Up Clothing From Floor
	HAQ0128		C106836	HAQ01-Open Car Doors	Health Assessment Questionnaire Disability Index - Grip: Are you able to open car doors?	HAQ-DI - Able to Open Car Doors
	HAQ0129		C106837	HAQ01-Open Jars Previously Opened	Health Assessment Questionnaire Disability Index - Grip: Are you able to open jars which have been previously opened?	HAQ-DI - Able to Open Previously Opened Jars
	HAQ0130		C106838	HAQ01-Turn Faucets On And Off	Health Assessment Questionnaire Disability Index - Grip: Are you able to turn faucets on and off?	HAQ-DI - Able to Turn Faucets On and Off
	HAQ0131		C106839	HAQ01-Run Errands and Shop	Health Assessment Questionnaire Disability Index - Activities: Are you able to run errands and shop?	HAQ-DI - Able to Run Errands and Shop
	HAQ0132		C106840	HAQ01-Get In and Out of a Car	Health Assessment Questionnaire Disability Index - Activities: Are you able to get in and out of a car?	HAQ-DI - Able to Get In and Out of Car
	HAQ0133		C106841	HAQ01-Able to Do Chores	Health Assessment Questionnaire Disability Index - Activities: Are you able to do chores such as vacuuming or yardwork?	HAQ-DI - Able to Do Chores - Vacuuming or Yardwork
	HAQ0134		C106842	HAQ01-Aid: Raised Toilet Seat	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Raised toilet seat.	HAQ-DI - Aids or Devices - Raised Toilet Seat
	HAQ0135		C106843	HAQ01-Aid: Bathtub Seat	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub seat.	HAQ-DI - Aids or Devices - Bathtub Seat
	HAQ0136		C107020	HAQ01-Aid: Jar Opener (Previously Open)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened).	HAQ-DI - Aids or Devices - Jar Opener (Jars Previously Opened)
	HAQ0137		C106844	HAQ01-Aid: Bathtub Bar	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub bar.	HAQ-DI - Aids or Devices - Bathtub Bar
	HAQ0138		C106845	HAQ01-Aid: Long-Handled Appl Reach	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach.	HAQ-DI - Aids or Devices - Long-Handled Appliances for Reach
	HAQ0139		C106846	HAQ01-Aid: Long-Handled Appl Bathroom	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom.	HAQ-DI - Aids or Devices - Long-Handled Appliances in Bathroom
	HAQ0140		C107093	HAQ01-Othr Aid (Hygiene/Reach/Grip/Act)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other.	HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Other
	HAQ0141		C107094	HAQ01-Spec Aid (Hygiene/Reach/Grip/Act)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify).	HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Specify
	HAQ0142		C106847	HAQ01-Help: Hygiene	Health Assessment Questionnaire Disability Index - Usually need help from another person: Hygiene.	HAQ-DI - Help From Another Person - Hygiene
	HAQ0143		C106848	HAQ01-Help: Reach	Health Assessment Questionnaire Disability Index - Usually need help from another person: Reach.	HAQ-DI - Help From Another Person - Reach
	HAQ0144		C106849	HAQ01-Help: Gripping and Opening Things	Health Assessment Questionnaire Disability Index - Usually need help from another person: Gripping and opening things.	HAQ-DI - Help From Another Person - Gripping and Opening Things
	HAQ0145		C106850	HAQ01-Help: Errands and Chores	Health Assessment Questionnaire Disability Index - Usually need help from another person: Errands and chores.	HAQ-DI - Help From Another Person - Errands and Chores
	HAQ0146		C106851	HAQ01-Severity of Pain	Health Assessment Questionnaire Disability Index - How much pain have you had because of your illness in the past week?	HAQ-DI - Severity of Pain in the Past Week
Back to top
CL.C106666.HAQ-DI TEST	QS-Health Assessment Questionnaire Disability Index Test Name (HAQ-DI TEST)	text Extensible: No	C106666	QS-Health Assessment Questionnaire Disability Index Test Name	Health Assessment Questionnaire Disability Index test name.	CDISC Questionnaire HAQ-DI Test Name Terminology
	HAQ01-Able to Do Chores		C106841	HAQ01-Able to Do Chores	Health Assessment Questionnaire Disability Index - Activities: Are you able to do chores such as vacuuming or yardwork?	HAQ-DI - Able to Do Chores - Vacuuming or Yardwork
	HAQ01-Aid: Bathtub Bar		C106844	HAQ01-Aid: Bathtub Bar	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub bar.	HAQ-DI - Aids or Devices - Bathtub Bar
	HAQ01-Aid: Bathtub Seat		C106843	HAQ01-Aid: Bathtub Seat	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub seat.	HAQ-DI - Aids or Devices - Bathtub Seat
	HAQ01-Aid: Built Up or Special Utensils		C106823	HAQ01-Aid: Built Up or Special Utensils	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Built up or special utensils.	HAQ-DI - Aids or Devices - Built Up or Special Utensils
	HAQ01-Aid: Cane		C106818	HAQ01-Aid: Cane	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Cane.	HAQ-DI - Aids or Devices - Cane
	HAQ01-Aid: Crutches		C106820	HAQ01-Aid: Crutches	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Crutches.	HAQ-DI - Aids or Devices - Crutches
	HAQ01-Aid: Devices Used for Dressing		C106822	HAQ01-Aid: Devices Used for Dressing	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.).	HAQ-DI - Aids or Devices - Used For Dressing
	HAQ01-Aid: Jar Opener (Previously Open)		C107020	HAQ01-Aid: Jar Opener (Previously Open)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened).	HAQ-DI - Aids or Devices - Jar Opener (Jars Previously Opened)
	HAQ01-Aid: Long-Handled Appl Bathroom		C106846	HAQ01-Aid: Long-Handled Appl Bathroom	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom.	HAQ-DI - Aids or Devices - Long-Handled Appliances in Bathroom
	HAQ01-Aid: Long-Handled Appl Reach		C106845	HAQ01-Aid: Long-Handled Appl Reach	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach.	HAQ-DI - Aids or Devices - Long-Handled Appliances for Reach
	HAQ01-Aid: Raised Toilet Seat		C106842	HAQ01-Aid: Raised Toilet Seat	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Raised toilet seat.	HAQ-DI - Aids or Devices - Raised Toilet Seat
	HAQ01-Aid: Special or Built Up Chair		C106824	HAQ01-Aid: Special or Built Up Chair	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Special or built up chair.	HAQ-DI - Aids or Devices - Special or Built Up Chair
	HAQ01-Aid: Walker		C106819	HAQ01-Aid: Walker	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Walker.	HAQ-DI - Aids or Devices - Walker
	HAQ01-Aid: Wheelchair		C106821	HAQ01-Aid: Wheelchair	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Wheelchair.	HAQ-DI - Aids or Devices - Wheelchair
	HAQ01-Bend Down Pick Up Clothing - Floor		C106835	HAQ01-Bend Down Pick Up Clothing - Floor	Health Assessment Questionnaire Disability Index - Reach: Are you able to bend down to pick up clothing from the floor?	HAQ-DI - Able to Bend Down and Pick Up Clothing From Floor
	HAQ01-Climb Up Five Steps		C106817	HAQ01-Climb Up Five Steps	Health Assessment Questionnaire Disability Index - Walking: Are you able to climb up five steps?	HAQ-DI - Able to Climb Up Steps
	HAQ01-Cut Your Meat		C106813	HAQ01-Cut Your Meat	Health Assessment Questionnaire Disability Index - Eating: Are you able to cut your meat?	HAQ-DI - Able to Cut Meat
	HAQ01-Dress Yourself		C106809	HAQ01-Dress Yourself	Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?	HAQ-DI - Able to Dress Yourself
	HAQ01-Get In and Out of a Car		C106840	HAQ01-Get In and Out of a Car	Health Assessment Questionnaire Disability Index - Activities: Are you able to get in and out of a car?	HAQ-DI - Able to Get In and Out of Car
	HAQ01-Get In and Out of Bed		C106812	HAQ01-Get In and Out of Bed	Health Assessment Questionnaire Disability Index - Arising: Are you able to get in and out of bed?	HAQ-DI - Able to Get In and Out of Bed
	HAQ01-Get On and Off The Toilet		C106833	HAQ01-Get On and Off The Toilet	Health Assessment Questionnaire Disability Index - Hygiene: Are you able to get on and off the toilet?	HAQ-DI - Able to Get On and Off Toilet
	HAQ01-Help: Arising		C106828	HAQ01-Help: Arising	Health Assessment Questionnaire Disability Index - Usually need help from another person: Arising.	HAQ-DI - Help From Another Person - Arising
	HAQ01-Help: Dressing and Grooming		C106827	HAQ01-Help: Dressing and Grooming	Health Assessment Questionnaire Disability Index - Usually need help from another person: Dressing and Grooming.	HAQ-DI - Help From Another Person - Dressing and Grooming
	HAQ01-Help: Eating		C106829	HAQ01-Help: Eating	Health Assessment Questionnaire Disability Index - Usually need help from another person: Eating.	HAQ-DI - Help From Another Person - Eating
	HAQ01-Help: Errands and Chores		C106850	HAQ01-Help: Errands and Chores	Health Assessment Questionnaire Disability Index - Usually need help from another person: Errands and chores.	HAQ-DI - Help From Another Person - Errands and Chores
	HAQ01-Help: Gripping and Opening Things		C106849	HAQ01-Help: Gripping and Opening Things	Health Assessment Questionnaire Disability Index - Usually need help from another person: Gripping and opening things.	HAQ-DI - Help From Another Person - Gripping and Opening Things
	HAQ01-Help: Hygiene		C106847	HAQ01-Help: Hygiene	Health Assessment Questionnaire Disability Index - Usually need help from another person: Hygiene.	HAQ-DI - Help From Another Person - Hygiene
	HAQ01-Help: Reach		C106848	HAQ01-Help: Reach	Health Assessment Questionnaire Disability Index - Usually need help from another person: Reach.	HAQ-DI - Help From Another Person - Reach
	HAQ01-Help: Walking		C106830	HAQ01-Help: Walking	Health Assessment Questionnaire Disability Index - Usually need help from another person: Walking.	HAQ-DI - Help From Another Person - Walking
	HAQ01-Lift a Full Cup or Glass to Mouth		C106814	HAQ01-Lift a Full Cup or Glass to Mouth	Health Assessment Questionnaire Disability Index - Eating: Are you able to lift a full cup or glass to your mouth?	HAQ-DI - Able to Lift Cup or Glass to Mouth
	HAQ01-Open a New Milk Carton		C106815	HAQ01-Open a New Milk Carton	Health Assessment Questionnaire Disability Index - Eating: Are you able to open a new milk carton?	HAQ-DI - Able to Open Milk Carton
	HAQ01-Open Car Doors		C106836	HAQ01-Open Car Doors	Health Assessment Questionnaire Disability Index - Grip: Are you able to open car doors?	HAQ-DI - Able to Open Car Doors
	HAQ01-Open Jars Previously Opened		C106837	HAQ01-Open Jars Previously Opened	Health Assessment Questionnaire Disability Index - Grip: Are you able to open jars which have been previously opened?	HAQ-DI - Able to Open Previously Opened Jars
	HAQ01-Othr Aid (Dress/Arising/Eat/Walk)		C106825	HAQ01-Othr Aid (Dress/Arising/Eat/Walk)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other.	HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Other
	HAQ01-Othr Aid (Hygiene/Reach/Grip/Act)		C107093	HAQ01-Othr Aid (Hygiene/Reach/Grip/Act)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other.	HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Other
	HAQ01-Reach-Get Down 5 Lb Obj Above Head		C106834	HAQ01-Reach-Get Down 5 Lb Obj Above Head	Health Assessment Questionnaire Disability Index - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?	HAQ-DI - Able to Reach and Get Down Object From Above Head
	HAQ01-Run Errands and Shop		C106839	HAQ01-Run Errands and Shop	Health Assessment Questionnaire Disability Index - Activities: Are you able to run errands and shop?	HAQ-DI - Able to Run Errands and Shop
	HAQ01-Severity of Pain		C106851	HAQ01-Severity of Pain	Health Assessment Questionnaire Disability Index - How much pain have you had because of your illness in the past week?	HAQ-DI - Severity of Pain in the Past Week
	HAQ01-Shampoo Your Hair		C106810	HAQ01-Shampoo Your Hair	Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to shampoo your hair?	HAQ-DI - Able to Shampoo Hair
	HAQ01-Spec Aid (Dress/Arising/Eat/Walk)		C106826	HAQ01-Spec Aid (Dress/Arising/Eat/Walk)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify).	HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Specify
	HAQ01-Spec Aid (Hygiene/Reach/Grip/Act)		C107094	HAQ01-Spec Aid (Hygiene/Reach/Grip/Act)	Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify).	HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Specify
	HAQ01-Stand Up From a Straight Chair		C106811	HAQ01-Stand Up From a Straight Chair	Health Assessment Questionnaire Disability Index - Arising: Are you able to stand up from a straight chair?	HAQ-DI - Able to Stand Up From Chair
	HAQ01-Take a Tub Bath		C106832	HAQ01-Take a Tub Bath	Health Assessment Questionnaire Disability Index - Hygiene: Are you able to take a tub bath?	HAQ-DI - Able to Take Tub Bath
	HAQ01-Turn Faucets On And Off		C106838	HAQ01-Turn Faucets On And Off	Health Assessment Questionnaire Disability Index - Grip: Are you able to turn faucets on and off?	HAQ-DI - Able to Turn Faucets On and Off
	HAQ01-Walk Outdoors on Flat Ground		C106816	HAQ01-Walk Outdoors on Flat Ground	Health Assessment Questionnaire Disability Index - Walking: Are you able to walk outdoors on flat ground?	HAQ-DI - Able to Walk Outdoors On Flat Ground
	HAQ01-Wash and Dry Your Body		C106831	HAQ01-Wash and Dry Your Body	Health Assessment Questionnaire Disability Index - Hygiene: Are you able to wash and dry your body?	HAQ-DI - Able to Wash and Dry Body
Back to top
CL.C103469.HADS TESTCD	QS-Hospital Anxiety and Depression Scale Questionnaire Test Code (HADS TESTCD)	text Extensible: No	C103469	QS-Hospital Anxiety and Depression Scale Questionnaire Test Code	Hospital Anxiety and Depression Scale test code.	CDISC Questionnaire HADS Test Code Terminology
	HADS0101		C103573	HADS01-I Feel Tense or Wound Up	Hospital Anxiety and Depression Scale - I feel tense or 'wound up.'	HADS - I Feel Tense or Wound Up
	HADS0102		C103574	HADS01-Enjoy the Things I Used to Enjoy	Hospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy.	HADS - I Still Enjoy the Things I Used to Enjoy
	HADS0103		C103575	HADS01-Something Awful About to Happen	Hospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen.	HADS - I Get a Frightened Feeling Something Awful is About to Happen
	HADS0104		C103576	HADS01-I Can Laugh and See Funny Side	Hospital Anxiety and Depression Scale - I can laugh and see the funny side of things.	HADS - I Can Laugh and See Funny Side of Things
	HADS0105		C103577	HADS01-Worrying Thoughts Go Through Mind	Hospital Anxiety and Depression Scale - Worrying thoughts go through my mind.	HADS - Worrying Thoughts Go Through My Mind
	HADS0106		C103578	HADS01-I Feel Cheerful	Hospital Anxiety and Depression Scale - I feel cheerful.	HADS - I Feel Cheerful
	HADS0107		C103579	HADS01-Sit at Ease and Feel Relaxed	Hospital Anxiety and Depression Scale - I can sit at ease and feel relaxed.	HADS - I Can Sit at Ease and Feel Relaxed
	HADS0108		C103580	HADS01-I Feel as if I am Slowed Down	Hospital Anxiety and Depression Scale - I feel as if I am slowed down.	HADS - I Feel as if I am Slowed Down
	HADS0109		C103581	HADS01-Butterflies in the Stomach	Hospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach.	HADS - I Get Frightened Feeling Like Butterflies in the Stomach
	HADS0110		C103582	HADS01-Lost Interest in My Appearance	Hospital Anxiety and Depression Scale - I have lost interest in my appearance.	HADS - I Have Lost Interest in My Appearance
	HADS0111		C103583	HADS01-Feel Restless be on the Move	Hospital Anxiety and Depression Scale - I feel restless as if I have to be on the move.	HADS - I Feel Restless as if I Have to be on the Move
	HADS0112		C103584	HADS01-Look Forward with Enjoyment	Hospital Anxiety and Depression Scale - I look forward with enjoyment to things.	HADS - I Look Forward with Enjoyment to Things
	HADS0113		C103585	HADS01-I Get Sudden Feelings of Panic	Hospital Anxiety and Depression Scale - I get sudden feelings of panic.	HADS - I Get Sudden Feelings of Panic
	HADS0114		C103586	HADS01-Enjoy Good Book/Radio/Television	Hospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme.	HADS - I Can Enjoy a Good Book or Radio or Television Programme
	HADS0115		C118111	HADS01-Total Score Anxiety	Hospital Anxiety and Depression Scale - Total score anxiety.	HADS - Total Score Anxiety
	HADS0116		C118112	HADS01-Total Score Depression	Hospital Anxiety and Depression Scale - Total score depression.	HADS - Total Score Depression
Back to top
CL.C103468.HADS TEST	QS-Hospital Anxiety and Depression Scale Questionnaire Test Name (HADS TEST)	text Extensible: No	C103468	QS-Hospital Anxiety and Depression Scale Questionnaire Test Name	Hospital Anxiety and Depression Scale test name.	CDISC Questionnaire HADS Test Name Terminology
	HADS01-Butterflies in the Stomach		C103581	HADS01-Butterflies in the Stomach	Hospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach.	HADS - I Get Frightened Feeling Like Butterflies in the Stomach
	HADS01-Enjoy Good Book/Radio/Television		C103586	HADS01-Enjoy Good Book/Radio/Television	Hospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme.	HADS - I Can Enjoy a Good Book or Radio or Television Programme
	HADS01-Enjoy the Things I Used to Enjoy		C103574	HADS01-Enjoy the Things I Used to Enjoy	Hospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy.	HADS - I Still Enjoy the Things I Used to Enjoy
	HADS01-Feel Restless be on the Move		C103583	HADS01-Feel Restless be on the Move	Hospital Anxiety and Depression Scale - I feel restless as if I have to be on the move.	HADS - I Feel Restless as if I Have to be on the Move
	HADS01-I Can Laugh and See Funny Side		C103576	HADS01-I Can Laugh and See Funny Side	Hospital Anxiety and Depression Scale - I can laugh and see the funny side of things.	HADS - I Can Laugh and See Funny Side of Things
	HADS01-I Feel as if I am Slowed Down		C103580	HADS01-I Feel as if I am Slowed Down	Hospital Anxiety and Depression Scale - I feel as if I am slowed down.	HADS - I Feel as if I am Slowed Down
	HADS01-I Feel Cheerful		C103578	HADS01-I Feel Cheerful	Hospital Anxiety and Depression Scale - I feel cheerful.	HADS - I Feel Cheerful
	HADS01-I Feel Tense or Wound Up		C103573	HADS01-I Feel Tense or Wound Up	Hospital Anxiety and Depression Scale - I feel tense or 'wound up.'	HADS - I Feel Tense or Wound Up
	HADS01-I Get Sudden Feelings of Panic		C103585	HADS01-I Get Sudden Feelings of Panic	Hospital Anxiety and Depression Scale - I get sudden feelings of panic.	HADS - I Get Sudden Feelings of Panic
	HADS01-Look Forward with Enjoyment		C103584	HADS01-Look Forward with Enjoyment	Hospital Anxiety and Depression Scale - I look forward with enjoyment to things.	HADS - I Look Forward with Enjoyment to Things
	HADS01-Lost Interest in My Appearance		C103582	HADS01-Lost Interest in My Appearance	Hospital Anxiety and Depression Scale - I have lost interest in my appearance.	HADS - I Have Lost Interest in My Appearance
	HADS01-Sit at Ease and Feel Relaxed		C103579	HADS01-Sit at Ease and Feel Relaxed	Hospital Anxiety and Depression Scale - I can sit at ease and feel relaxed.	HADS - I Can Sit at Ease and Feel Relaxed
	HADS01-Something Awful About to Happen		C103575	HADS01-Something Awful About to Happen	Hospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen.	HADS - I Get a Frightened Feeling Something Awful is About to Happen
	HADS01-Total Score Anxiety		C118111	HADS01-Total Score Anxiety	Hospital Anxiety and Depression Scale - Total score anxiety.	HADS - Total Score Anxiety
	HADS01-Total Score Depression		C118112	HADS01-Total Score Depression	Hospital Anxiety and Depression Scale - Total score depression.	HADS - Total Score Depression
	HADS01-Worrying Thoughts Go Through Mind		C103577	HADS01-Worrying Thoughts Go Through Mind	Hospital Anxiety and Depression Scale - Worrying thoughts go through my mind.	HADS - Worrying Thoughts Go Through My Mind
Back to top
CL.C113856.IVIS TESTCD	QS-Impact of Visual Impairment Scale Test Code (IVIS TESTCD)	text Extensible: No	C113856	QS-Impact of Visual Impairment Scale Test Code	Impact of Visual Impairment Scale test code.	CDISC Questionnaire Impact of Visual Impairment Scale Test Code Terminology
	IVIS0101		C113962	IVIS01-Read or Access Personal Letters	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes?	IVIS - Read or Access Personal Letters
	IVIS0102		C113963	IVIS01-Read or Access Printed Materials	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.?	IVIS - Read or Access Printed Materials
	IVIS0103		C113964	IVIS01-Read or Access Dials	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.?	IVIS - Read or Access Dials
	IVIS0104		C113965	IVIS01-Watch TV/ID Faces From Distance	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance?	IVIS - Watch TV or Identify Faces From Distance
	IVIS0105		C113966	IVIS01-Identify House Number/Street Sign	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.?	IVIS - Identify House Numbers or Street Signs
Back to top
CL.C113855.IVIS TEST	QS-Impact of Visual Impairment Scale Test Name (IVIS TEST)	text Extensible: No	C113855	QS-Impact of Visual Impairment Scale Test Name	Impact of Visual Impairment Scale test name.	CDISC Questionnaire Impact of Visual Impairment Scale Test Name Terminology
	IVIS01-Identify House Number/Street Sign		C113966	IVIS01-Identify House Number/Street Sign	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.?	IVIS - Identify House Numbers or Street Signs
	IVIS01-Read or Access Dials		C113964	IVIS01-Read or Access Dials	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.?	IVIS - Read or Access Dials
	IVIS01-Read or Access Personal Letters		C113962	IVIS01-Read or Access Personal Letters	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes?	IVIS - Read or Access Personal Letters
	IVIS01-Read or Access Printed Materials		C113963	IVIS01-Read or Access Printed Materials	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.?	IVIS - Read or Access Printed Materials
	IVIS01-Watch TV/ID Faces From Distance		C113965	IVIS01-Watch TV/ID Faces From Distance	Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance?	IVIS - Watch TV or Identify Faces From Distance
Back to top
CL.C103471.IIEF TESTCD	QS-International Index of Erectile Function Questionnaire Test Code (IIEF TESTCD)	text Extensible: No	C103471	QS-International Index of Erectile Function Questionnaire Test Code	International Index of Erectile Function test code.	CDISC Questionnaire IIEF Test Code Terminology
	IIEF0101		C103587	IIEF01-Erection During Sexual Activity;IIEF01-Erection Frequency	International Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity?	IIEF - Able to Get an Erection During Sexual Activity
	IIEF0102		C103588	IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to Penetrate	International Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration?	IIEF - Erections Hard Enough for Penetration
	IIEF0103		C103589	IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration Ability	International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner?	IIEF - Able to Penetrate Your Partner
	IIEF0104		C103590	IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance Frequency	International Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?	IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner
	IIEF0105		C103591	IIEF01-Maintain Erection to Completion;IIEF01-Maintenance Ability	International Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?	IIEF - Maintain Your Erection to Completion of Intercourse
	IIEF0106		C103592	IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual Intercours	International Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse?	IIEF - How Many Times Have You Attempted Sexual Intercourse
	IIEF0107		C103593	IIEF01-How Often was it Satisfactory;IIEF01-Intercourse Satisfaction	International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you?	IIEF - How Often was it Satisfactory for You
	IIEF0108		C103594	IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse Enjoyment	International Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse?	IIEF - How Much Have You Enjoyed Sexual Intercourse
	IIEF0109		C103595	IIEF01-Ejaculation Frequency;IIEF01-How Often Did You Ejaculate	International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate?	IIEF - How Often Did You Ejaculate
	IIEF0110		C103596	IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm Frequency	International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation?	IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation
	IIEF0111		C103597	IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual Desire	International Index of Erectile Function - Over the past four weeks how often have you felt sexual desire?	IIEF - How Often Have You Felt Sexual Desire
	IIEF0112		C103598	IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual Desire	International Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire?	IIEF - Rate Your Level of Sexual Desire
	IIEF0113		C103599	IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex Life	International Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life?	IIEF - Satisfied with Overall Sex Life
	IIEF0114		C103600	IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual Relationship	International Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner?	IIEF - Satisfied with Your Sexual Relationship with Your Partner
	IIEF0115		C103601	IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection Confidence	International Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection?	IIEF - Your Confidence to Get and Keep an Erection
Back to top
CL.C103470.IIEF TEST	QS-International Index of Erectile Function Questionnaire Test Name (IIEF TEST)	text Extensible: No	C103470	QS-International Index of Erectile Function Questionnaire Test Name	International Index of Erectile Function test name.	CDISC Questionnaire IIEF Test Name Terminology
	IIEF01-Able to Penetrate Your Partner		C103589	IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration Ability	International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner?	IIEF - Able to Penetrate Your Partner
	IIEF01-Confidence to Get/Keep Erection		C103601	IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection Confidence	International Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection?	IIEF - Your Confidence to Get and Keep an Erection
	IIEF01-Did You Have Feeling of Orgasm		C103596	IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm Frequency	International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation?	IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation
	IIEF01-Enjoyed Sexual Intercourse		C103594	IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse Enjoyment	International Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse?	IIEF - How Much Have You Enjoyed Sexual Intercourse
	IIEF01-Erection During Sexual Activity		C103587	IIEF01-Erection During Sexual Activity;IIEF01-Erection Frequency	International Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity?	IIEF - Able to Get an Erection During Sexual Activity
	IIEF01-Erection Hard Enough to Penetrate		C103588	IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to Penetrate	International Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration?	IIEF - Erections Hard Enough for Penetration
	IIEF01-Have You Felt Sexual Desire		C103597	IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual Desire	International Index of Erectile Function - Over the past four weeks how often have you felt sexual desire?	IIEF - How Often Have You Felt Sexual Desire
	IIEF01-How Often Did You Ejaculate		C103595	IIEF01-Ejaculation Frequency;IIEF01-How Often Did You Ejaculate	International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate?	IIEF - How Often Did You Ejaculate
	IIEF01-How Often was it Satisfactory		C103593	IIEF01-How Often was it Satisfactory;IIEF01-Intercourse Satisfaction	International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you?	IIEF - How Often was it Satisfactory for You
	IIEF01-Maintain Erection After Penetrate		C103590	IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance Frequency	International Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?	IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner
	IIEF01-Maintain Erection to Completion		C103591	IIEF01-Maintain Erection to Completion;IIEF01-Maintenance Ability	International Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?	IIEF - Maintain Your Erection to Completion of Intercourse
	IIEF01-Rate Your Level of Sexual Desire		C103598	IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual Desire	International Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire?	IIEF - Rate Your Level of Sexual Desire
	IIEF01-Satisfied with Overall Sex Life		C103599	IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex Life	International Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life?	IIEF - Satisfied with Overall Sex Life
	IIEF01-Satisfy with Sexual Relationship		C103600	IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual Relationship	International Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner?	IIEF - Satisfied with Your Sexual Relationship with Your Partner
	IIEF01-Times Attempted Sexual Intercours		C103592	IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual Intercours	International Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse?	IIEF - How Many Times Have You Attempted Sexual Intercourse
Back to top
CL.C100170.KPS Scale TESTCD	QS-Karnofsky Performance Status Scale Test Code (KPS Scale TESTCD)	text Extensible: No	C100170	QS-Karnofsky Performance Status Scale Test Code	Karnofsky Performance Status Scale test code.	CDISC Questionnaire KPS Scale Test Code Terminology
	KPSS01		C100417	KPSS-Karnofsky Performance Status	Karnofsky Performance Status Scale - Karnofsky Performance Status.	KPS Scale - Karnofsky Performance Status
Back to top
CL.C100169.KPS Scale TEST	QS-Karnofsky Performance Status Scale Test Name (KPS Scale TEST)	text Extensible: No	C100169	QS-Karnofsky Performance Status Scale Test Name	Karnofsky Performance Status Scale test name.	CDISC Questionnaire KPS Scale Test Name Terminology
	KPSS-Karnofsky Performance Status		C100417	KPSS-Karnofsky Performance Status	Karnofsky Performance Status Scale - Karnofsky Performance Status.	KPS Scale - Karnofsky Performance Status
Back to top
CL.C112439.EDSS TESTCD	QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code (EDSS TESTCD)	text Extensible: No	C112439	QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code	Kurtzke Expanded Disability Status Scale test code.	CDISC Questionnaire EDSS Test Code Terminology
	EDSS0101		C112550	EDSS01-Expanded Disability Score	Kurtzke Expanded Disability Status Scale - Expanded disability score.	EDSS - Expanded Disability Score
Back to top
CL.C112438.EDSS TEST	QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name (EDSS TEST)	text Extensible: No	C112438	QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name	Kurtzke Expanded Disability Status Scale test name.	CDISC Questionnaire EDSS Test Name Terminology
	EDSS01-Expanded Disability Score		C112550	EDSS01-Expanded Disability Score	Kurtzke Expanded Disability Status Scale - Expanded disability score.	EDSS - Expanded Disability Score
Back to top
CL.C112443.KFSS TESTCD	QS-Kurtzke Functional Systems Scores Questionnaire Test Code (KFSS TESTCD)	text Extensible: No	C112443	QS-Kurtzke Functional Systems Scores Questionnaire Test Code	Kurtzke Functional Systems Scores test code.	CDISC Questionnaire KFSS Test Code Terminology
	KFSS101		C112609	KFSS1-Pyramidal Functions	Kurtzke Functional Systems Scores - Pyramidal functions.	KFSS - Pyramidal Functions
	KFSS102		C112610	KFSS1-Cerebellar Functions	Kurtzke Functional Systems Scores - Cerebellar functions.	KFSS - Cerebellar Functions
	KFSS102A		C112611	KFSS1-Weakness Interferes With Testing	Kurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing.	KFSS - Weakness Interferes With Testing
	KFSS103		C112612	KFSS1-Brain Stem Functions	Kurtzke Functional Systems Scores - Brain stem functions.	KFSS - Brain Stem Functions
	KFSS104		C112613	KFSS1-Sensory Functions	Kurtzke Functional Systems Scores - Sensory functions.	KFSS - Sensory Functions
	KFSS105		C112614	KFSS1-Bowel and Bladder Functions	Kurtzke Functional Systems Scores - Bowel and bladder functions.	KFSS - Bowel and Bladder Functions
	KFSS106		C112615	KFSS1-Visual or Optic Functions	Kurtzke Functional Systems Scores - Visual (or optic) functions.	KFSS - Visual (or Optic) Functions
	KFSS106A		C112616	KFSS1-Presence of Temporal Pallor	Kurtzke Functional Systems Scores - Check here for presence of temporal pallor.	KFSS - Presence of Temporal Pallor
	KFSS107		C112617	KFSS1-Cerebral or Mental Functions	Kurtzke Functional Systems Scores - Cerebral (or mental) functions.	KFSS - Cerebral (or Mental) Functions
	KFSS108		C113884	KFSS1-Other Functions	Kurtzke Functional Systems Scores - Other functions.	KFSS - Other Functions
	KFSS108A		C113885	KFSS1-Other Functions Specify	Kurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify).	KFSS - Other Functions Specify
Back to top
CL.C112442.KFSS TEST	QS-Kurtzke Functional Systems Scores Questionnaire Test Name (KFSS TEST)	text Extensible: No	C112442	QS-Kurtzke Functional Systems Scores Questionnaire Test Name	Kurtzke Functional Systems Scores test name.	CDISC Questionnaire KFSS Test Name Terminology
	KFSS1-Bowel and Bladder Functions		C112614	KFSS1-Bowel and Bladder Functions	Kurtzke Functional Systems Scores - Bowel and bladder functions.	KFSS - Bowel and Bladder Functions
	KFSS1-Brain Stem Functions		C112612	KFSS1-Brain Stem Functions	Kurtzke Functional Systems Scores - Brain stem functions.	KFSS - Brain Stem Functions
	KFSS1-Cerebellar Functions		C112610	KFSS1-Cerebellar Functions	Kurtzke Functional Systems Scores - Cerebellar functions.	KFSS - Cerebellar Functions
	KFSS1-Cerebral or Mental Functions		C112617	KFSS1-Cerebral or Mental Functions	Kurtzke Functional Systems Scores - Cerebral (or mental) functions.	KFSS - Cerebral (or Mental) Functions
	KFSS1-Other Functions		C113884	KFSS1-Other Functions	Kurtzke Functional Systems Scores - Other functions.	KFSS - Other Functions
	KFSS1-Other Functions Specify		C113885	KFSS1-Other Functions Specify	Kurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify).	KFSS - Other Functions Specify
	KFSS1-Presence of Temporal Pallor		C112616	KFSS1-Presence of Temporal Pallor	Kurtzke Functional Systems Scores - Check here for presence of temporal pallor.	KFSS - Presence of Temporal Pallor
	KFSS1-Pyramidal Functions		C112609	KFSS1-Pyramidal Functions	Kurtzke Functional Systems Scores - Pyramidal functions.	KFSS - Pyramidal Functions
	KFSS1-Sensory Functions		C112613	KFSS1-Sensory Functions	Kurtzke Functional Systems Scores - Sensory functions.	KFSS - Sensory Functions
	KFSS1-Visual or Optic Functions		C112615	KFSS1-Visual or Optic Functions	Kurtzke Functional Systems Scores - Visual (or optic) functions.	KFSS - Visual (or Optic) Functions
	KFSS1-Weakness Interferes With Testing		C112611	KFSS1-Weakness Interferes With Testing	Kurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing.	KFSS - Weakness Interferes With Testing
Back to top
CL.C115406.MPAI-4 TESTCD	QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code (MPAI-4 TESTCD)	text Extensible: No	C115406	QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code	Mayo-Portland Adaptability Inventory-4 test code.	CDISC Questionnaire MPAI-4 Test Code Terminology
	MPAI101		C115851	MPAI1-Mobility	Mayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about.	MPAI-4 - Abilities: Mobility
	MPAI102		C115852	MPAI1-Use of Hands	Mayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands.	MPAI-4 - Abilities: Use of Hands
	MPAI103		C115853	MPAI1-Vision	Mayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing.	MPAI-4 - Abilities: Vision
	MPAI104		C115854	MPAI1-Audition	Mayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears.	MPAI-4 - Abilities: Audition
	MPAI105		C115855	MPAI1-Dizziness	Mayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed.	MPAI-4 - Abilities: Dizziness
	MPAI106		C115856	MPAI1-Motor Speech	Mayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering.	MPAI-4 - Abilities: Motor Speech
	MPAI107A		C115857	MPAI1-Verbal Communication	Mayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language.	MPAI-4 - Abilities: Verbal Communication
	MPAI107B		C115858	MPAI1-Nonverbal Communication	Mayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others.	MPAI-4 - Abilities: Nonverbal Communication
	MPAI108		C115859	MPAI1-Attention/Concentration	Mayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time.	MPAI-4 - Abilities: Attention or Concentration
	MPAI109		C115860	MPAI1-Memory	Mayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information.	MPAI-4 - Abilities: Memory
	MPAI110		C115861	MPAI1-Fund of Information	Mayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago.	MPAI-4 - Abilities: Fund of Information
	MPAI111		C115862	MPAI1-Novel Problem-Solving	Mayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems.	MPAI-4 - Abilities: Novel Problem-Solving
	MPAI112		C115863	MPAI1-Visuospatial Abilities	Mayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides.	MPAI-4 - Abilities: Visuospatial Abilities
	MPAI113		C115864	MPAI1-Anxiety	Mayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.	MPAI-4 - Adjustment: Anxiety
	MPAI114		C115865	MPAI1-Depression	Mayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.	MPAI-4 - Adjustment: Depression
	MPAI115		C115866	MPAI1-Irritablity, Anger, Aggression	Mayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger.	MPAI-4 - Adjustment: Irritability, Anger, Aggression
	MPAI116		C115867	MPAI1-Pain and Headache	Mayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain.	MPAI-4 - Adjustment: Pain and Headache
	MPAI117		C115868	MPAI1-Fatigue	Mayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily.	MPAI-4 - Adjustment: Fatigue
	MPAI118		C115869	MPAI1-Sensitivity to Mild Symptoms	Mayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves.	MPAI-4 - Adjustment: Sensitivity to Mild Symptoms
	MPAI119		C115870	MPAI1-Inappropriate Social Interaction	Mayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place.	MPAI-4 - Adjustment: Inappropriate Social Interaction
	MPAI120		C115871	MPAI1-Impaired Self-Awareness	Mayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school.	MPAI-4 - Adjustment: Impaired Self-Awareness
	MPAI121		C115872	MPAI1-Family/Significant Relationships	Mayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running.	MPAI-4 - Adjustment: Family or Significant Relationships
	MPAI122		C115873	MPAI1-Initiation	Mayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting.	MPAI-4 - Participation: Initiation
	MPAI123		C115874	MPAI1-Social Contact-Friends/Coworkers	Mayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals.	MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others
	MPAI124		C115875	MPAI1-Leisure and Recreation Activities	Mayo-Portland Adaptability Inventory-4 - Leisure and recreational activities.	MPAI-4 - Participation: Leisure and Recreational Activities
	MPAI125		C115876	MPAI1-Self-Care	Mayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene.	MPAI-4 - Participation: Self-Care
	MPAI126		C115877	MPAI1-Residence	Mayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money.	MPAI-4 - Participation: Residence
	MPAI127		C115878	MPAI1-Transportation	Mayo-Portland Adaptability Inventory-4 - Transportation.	MPAI-4 - Participation: Transportation
	MPAI128A		C115879	MPAI1-Paid Employment	Mayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.	MPAI-4 - Participation: Paid Employment
	MPAI128B		C115880	MPAI1-Other Employment	Mayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.	MPAI-4 - Participation: Other Employment
	MPAI128C		C115881	MPAI1-Other Employment-Social Role	Mayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role.	MPAI-4 - Participation: Other Employment-Social Role
	MPAI129		C115882	MPAI1-Managing Money and Finances	Mayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments.	MPAI-4 - Participation: Managing Money and Finances
	MPAI130A		C115883	MPAI1-Alcohol Use-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages.	MPAI-4 - Alcohol Use Pre-Injury
	MPAI130B		C115884	MPAI1-Alcohol Use-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages.	MPAI-4 - Alcohol Use Post-Injury
	MPAI131A		C115885	MPAI1-Drug Use-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs.	MPAI-4 - Drug Use Pre-Injury
	MPAI131B		C115886	MPAI1-Drug Use-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs.	MPAI-4 - Drug Use Post-Injury
	MPAI132A		C115887	MPAI1-Psychotic Symptoms-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.	MPAI-4 - Psychotic Symptoms Pre-Injury
	MPAI132B		C115888	MPAI1-Psychotic Symptoms-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.	MPAI-4 - Psychotic Symptoms Post-Injury
	MPAI133A		C115889	MPAI1-Law Violations-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury.	MPAI-4 - Law Violations Pre-Injury
	MPAI133B		C115890	MPAI1-Law Violations-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury.	MPAI-4 - Law Violations Post-Injury
	MPAI134A		C115891	MPAI1-Other Physical Cond-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.	MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury
	MPAI134B		C115892	MPAI1-Other Physical Cond-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.	MPAI-4 - Other Condition Causing Physical Impairment Post-Injury
	MPAI135A		C115893	MPAI1-Other Cognitive Cond-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.	MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury
	MPAI135B		C115894	MPAI1-Other Cognitive Cond-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.	MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury
Back to top
CL.C115405.MPAI-4 TEST	QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name (MPAI-4 TEST)	text Extensible: No	C115405	QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name	Mayo-Portland Adaptability Inventory-4 test name.	CDISC Questionnaire MPAI-4 Test Name Terminology
	MPAI1-Alcohol Use-Post-Injury		C115884	MPAI1-Alcohol Use-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages.	MPAI-4 - Alcohol Use Post-Injury
	MPAI1-Alcohol Use-Pre-Injury		C115883	MPAI1-Alcohol Use-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages.	MPAI-4 - Alcohol Use Pre-Injury
	MPAI1-Anxiety		C115864	MPAI1-Anxiety	Mayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.	MPAI-4 - Adjustment: Anxiety
	MPAI1-Attention/Concentration		C115859	MPAI1-Attention/Concentration	Mayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time.	MPAI-4 - Abilities: Attention or Concentration
	MPAI1-Audition		C115854	MPAI1-Audition	Mayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears.	MPAI-4 - Abilities: Audition
	MPAI1-Depression		C115865	MPAI1-Depression	Mayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.	MPAI-4 - Adjustment: Depression
	MPAI1-Dizziness		C115855	MPAI1-Dizziness	Mayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed.	MPAI-4 - Abilities: Dizziness
	MPAI1-Drug Use-Post-Injury		C115886	MPAI1-Drug Use-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs.	MPAI-4 - Drug Use Post-Injury
	MPAI1-Drug Use-Pre-Injury		C115885	MPAI1-Drug Use-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs.	MPAI-4 - Drug Use Pre-Injury
	MPAI1-Family/Significant Relationships		C115872	MPAI1-Family/Significant Relationships	Mayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running.	MPAI-4 - Adjustment: Family or Significant Relationships
	MPAI1-Fatigue		C115868	MPAI1-Fatigue	Mayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily.	MPAI-4 - Adjustment: Fatigue
	MPAI1-Fund of Information		C115861	MPAI1-Fund of Information	Mayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago.	MPAI-4 - Abilities: Fund of Information
	MPAI1-Impaired Self-Awareness		C115871	MPAI1-Impaired Self-Awareness	Mayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school.	MPAI-4 - Adjustment: Impaired Self-Awareness
	MPAI1-Inappropriate Social Interaction		C115870	MPAI1-Inappropriate Social Interaction	Mayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place.	MPAI-4 - Adjustment: Inappropriate Social Interaction
	MPAI1-Initiation		C115873	MPAI1-Initiation	Mayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting.	MPAI-4 - Participation: Initiation
	MPAI1-Irritablity, Anger, Aggression		C115866	MPAI1-Irritablity, Anger, Aggression	Mayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger.	MPAI-4 - Adjustment: Irritability, Anger, Aggression
	MPAI1-Law Violations-Post-Injury		C115890	MPAI1-Law Violations-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury.	MPAI-4 - Law Violations Post-Injury
	MPAI1-Law Violations-Pre-Injury		C115889	MPAI1-Law Violations-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury.	MPAI-4 - Law Violations Pre-Injury
	MPAI1-Leisure and Recreation Activities		C115875	MPAI1-Leisure and Recreation Activities	Mayo-Portland Adaptability Inventory-4 - Leisure and recreational activities.	MPAI-4 - Participation: Leisure and Recreational Activities
	MPAI1-Managing Money and Finances		C115882	MPAI1-Managing Money and Finances	Mayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments.	MPAI-4 - Participation: Managing Money and Finances
	MPAI1-Memory		C115860	MPAI1-Memory	Mayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information.	MPAI-4 - Abilities: Memory
	MPAI1-Mobility		C115851	MPAI1-Mobility	Mayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about.	MPAI-4 - Abilities: Mobility
	MPAI1-Motor Speech		C115856	MPAI1-Motor Speech	Mayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering.	MPAI-4 - Abilities: Motor Speech
	MPAI1-Nonverbal Communication		C115858	MPAI1-Nonverbal Communication	Mayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others.	MPAI-4 - Abilities: Nonverbal Communication
	MPAI1-Novel Problem-Solving		C115862	MPAI1-Novel Problem-Solving	Mayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems.	MPAI-4 - Abilities: Novel Problem-Solving
	MPAI1-Other Cognitive Cond-Post-Injury		C115894	MPAI1-Other Cognitive Cond-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.	MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury
	MPAI1-Other Cognitive Cond-Pre-Injury		C115893	MPAI1-Other Cognitive Cond-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.	MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury
	MPAI1-Other Employment		C115880	MPAI1-Other Employment	Mayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.	MPAI-4 - Participation: Other Employment
	MPAI1-Other Employment-Social Role		C115881	MPAI1-Other Employment-Social Role	Mayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role.	MPAI-4 - Participation: Other Employment-Social Role
	MPAI1-Other Physical Cond-Post-Injury		C115892	MPAI1-Other Physical Cond-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.	MPAI-4 - Other Condition Causing Physical Impairment Post-Injury
	MPAI1-Other Physical Cond-Pre-Injury		C115891	MPAI1-Other Physical Cond-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.	MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury
	MPAI1-Paid Employment		C115879	MPAI1-Paid Employment	Mayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.	MPAI-4 - Participation: Paid Employment
	MPAI1-Pain and Headache		C115867	MPAI1-Pain and Headache	Mayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain.	MPAI-4 - Adjustment: Pain and Headache
	MPAI1-Psychotic Symptoms-Post-Injury		C115888	MPAI1-Psychotic Symptoms-Post-Injury	Mayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.	MPAI-4 - Psychotic Symptoms Post-Injury
	MPAI1-Psychotic Symptoms-Pre-Injury		C115887	MPAI1-Psychotic Symptoms-Pre-Injury	Mayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.	MPAI-4 - Psychotic Symptoms Pre-Injury
	MPAI1-Residence		C115877	MPAI1-Residence	Mayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money.	MPAI-4 - Participation: Residence
	MPAI1-Self-Care		C115876	MPAI1-Self-Care	Mayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene.	MPAI-4 - Participation: Self-Care
	MPAI1-Sensitivity to Mild Symptoms		C115869	MPAI1-Sensitivity to Mild Symptoms	Mayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves.	MPAI-4 - Adjustment: Sensitivity to Mild Symptoms
	MPAI1-Social Contact-Friends/Coworkers		C115874	MPAI1-Social Contact-Friends/Coworkers	Mayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals.	MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others
	MPAI1-Transportation		C115878	MPAI1-Transportation	Mayo-Portland Adaptability Inventory-4 - Transportation.	MPAI-4 - Participation: Transportation
	MPAI1-Use of Hands		C115852	MPAI1-Use of Hands	Mayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands.	MPAI-4 - Abilities: Use of Hands
	MPAI1-Verbal Communication		C115857	MPAI1-Verbal Communication	Mayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language.	MPAI-4 - Abilities: Verbal Communication
	MPAI1-Vision		C115853	MPAI1-Vision	Mayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing.	MPAI-4 - Abilities: Vision
	MPAI1-Visuospatial Abilities		C115863	MPAI1-Visuospatial Abilities	Mayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides.	MPAI-4 - Abilities: Visuospatial Abilities
Back to top
CL.C100152.MNSI TESTCD	QS-Michigan Neuropathy Screening Instrument Test Code (MNSI TESTCD)	text Extensible: No	C100152	QS-Michigan Neuropathy Screening Instrument Test Code	Michigan Neuropathy Screening Instrument test code.	CDISC Questionnaire MNSI Test Code Terminology
	MNSI101		C100587	MNSI1-Are Your Legs and/or Feet Numb	Michigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb?	MNSI - Legs and/or Feet Numb
	MNSI102		C100588	MNSI1-Ever Have Burning Pain Legs/Feet	Michigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet?	MNSI - Burning Pain Legs/Feet
	MNSI103		C100589	MNSI1-Are Feet Too Sensitive to Touch	Michigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch?	MNSI - Feet Too Sensitive to Touch
	MNSI104		C100590	MNSI1-Get Muscle Cramps Legs/Feet	Michigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet?	MNSI - Muscle Cramps Legs/Feet
	MNSI105		C100591	MNSI1-Ever Prickling Feelings Legs/Feet	Michigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet?	MNSI - Prickling Feelings Legs/Feet
	MNSI106		C100592	MNSI1-Hurt When Bed Covers Touch Skin	Michigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin?	MNSI - Hurt When Bed Covers Touch Skin
	MNSI107		C100593	MNSI1-Able to Tell Hot from Cold Water	Michigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water?	MNSI - Able to Tell Hot from Cold Water
	MNSI108		C100594	MNSI1-Ever Had Open Sore on Foot	Michigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot?	MNSI - Open Sore on Foot
	MNSI109		C100595	MNSI1-Doctor Says Diabetic Neuropathy	Michigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy?	MNSI - Doctor Says Diabetic Neuropathy
	MNSI110		C100596	MNSI1-Feel Weak All Over Most Times	Michigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time?	MNSI - Feel Weak All Over Most Times
	MNSI111		C100597	MNSI1-Symptoms Worse at Night	Michigan Neuropathy Screening Instrument - History: Are your symptoms worse at night?	MNSI - Symptoms Worse at Night
	MNSI112		C100598	MNSI1-Legs Hurt When Walking	Michigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk?	MNSI - Legs Hurt When Walking
	MNSI113		C100599	MNSI1-Able to Sense Feet When Walking	Michigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk?	MNSI - Able to Sense Feet When Walking
	MNSI114		C100600	MNSI1-Skin So Dry That Feet Crack Open	Michigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open?	MNSI - Skin So Dry That Feet Crack Open
	MNSI115		C100601	MNSI1-Ever Had Amputation	Michigan Neuropathy Screening Instrument - History: Have you ever had an amputation?	MNSI - Ever Had Amputation
	MNSI116		C100602	MNSI1-Total	Michigan Neuropathy Screening Instrument - History: Total.	MNSI - History Total
	MNSI117		C100603	MNSI1-Right Foot Appears Normal	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal.	MNSI - Right Foot Appears Normal
	MNSI118		C100604	MNSI1-Right Foot Deformities	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities.	MNSI - Right Foot Deformities
	MNSI119		C101019	MNSI1-Right Foot Dry Skin, Callus	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus.	MNSI - Right Foot Dry Skin, Callus
	MNSI120		C100605	MNSI1-Right Foot Infection	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection.	MNSI - Right Foot Infection
	MNSI121		C100606	MNSI1-Right Foot Fissure	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure.	MNSI - Right Foot Fissure
	MNSI122		C100607	MNSI1-Right Foot Other Abnormal Specify	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify.	MNSI - Right Foot Other Abnormal Specify
	MNSI123		C100608	MNSI1-Left Foot Appears Normal	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal.	MNSI - Left Foot Appears Normal
	MNSI124		C100609	MNSI1-Left Foot Deformities	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities.	MNSI - Left Foot Deformities
	MNSI125		C101020	MNSI1-Left Dry Skin, Callus	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus.	MNSI - Left Foot Dry Skin, Callus
	MNSI126		C100610	MNSI1-Left Foot Infection	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection.	MNSI - Left Foot Infection
	MNSI127		C100611	MNSI1-Left Foot Fissure	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure.	MNSI - Left Foot Fissure
	MNSI128		C100612	MNSI1-Left Foot Other Abnormal Specify	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify.	MNSI - Left Foot Other Abnormal Specify
	MNSI129		C100613	MNSI1-Right Foot Ulceration	Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration.	MNSI - Right Foot Ulceration
	MNSI130		C100614	MNSI1-Left Foot Ulceration	Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration.	MNSI - Left Foot Ulceration
	MNSI131		C100615	MNSI1-Right Ankle Reflexes	Michigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes.	MNSI - Right Ankle Reflexes
	MNSI132		C100616	MNSI1-Left Ankle Reflexes	Michigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes.	MNSI - Left Ankle Reflexes
	MNSI133		C100617	MNSI1-Right Foot Vibration Great Toe	Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe.	MNSI - Right Foot Vibration Great Toe
	MNSI134		C100618	MNSI1-Left Foot Vibration Great Toe	Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe.	MNSI - Left Foot Vibration Great Toe
	MNSI135		C100619	MNSI1-Right Foot Monofilament	Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament.	MNSI - Right Foot Monofilament
	MNSI136		C100620	MNSI1-Left Foot Monofilament	Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament.	MNSI - Left Foot Monofilament
	MNSI137		C100621	MNSI1-Total Score	Michigan Neuropathy Screening Instrument - Physical Assessment: Total Score.	MNSI - Physical Assessment Total Score
Back to top
CL.C100151.MNSI TEST	QS-Michigan Neuropathy Screening Instrument Test Name (MNSI TEST)	text Extensible: No	C100151	QS-Michigan Neuropathy Screening Instrument Test Name	Michigan Neuropathy Screening Instrument test name.	CDISC Questionnaire MNSI Test Name Terminology
	MNSI1-Able to Sense Feet When Walking		C100599	MNSI1-Able to Sense Feet When Walking	Michigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk?	MNSI - Able to Sense Feet When Walking
	MNSI1-Able to Tell Hot from Cold Water		C100593	MNSI1-Able to Tell Hot from Cold Water	Michigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water?	MNSI - Able to Tell Hot from Cold Water
	MNSI1-Are Feet Too Sensitive to Touch		C100589	MNSI1-Are Feet Too Sensitive to Touch	Michigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch?	MNSI - Feet Too Sensitive to Touch
	MNSI1-Are Your Legs and/or Feet Numb		C100587	MNSI1-Are Your Legs and/or Feet Numb	Michigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb?	MNSI - Legs and/or Feet Numb
	MNSI1-Doctor Says Diabetic Neuropathy		C100595	MNSI1-Doctor Says Diabetic Neuropathy	Michigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy?	MNSI - Doctor Says Diabetic Neuropathy
	MNSI1-Ever Had Amputation		C100601	MNSI1-Ever Had Amputation	Michigan Neuropathy Screening Instrument - History: Have you ever had an amputation?	MNSI - Ever Had Amputation
	MNSI1-Ever Had Open Sore on Foot		C100594	MNSI1-Ever Had Open Sore on Foot	Michigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot?	MNSI - Open Sore on Foot
	MNSI1-Ever Have Burning Pain Legs/Feet		C100588	MNSI1-Ever Have Burning Pain Legs/Feet	Michigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet?	MNSI - Burning Pain Legs/Feet
	MNSI1-Ever Prickling Feelings Legs/Feet		C100591	MNSI1-Ever Prickling Feelings Legs/Feet	Michigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet?	MNSI - Prickling Feelings Legs/Feet
	MNSI1-Feel Weak All Over Most Times		C100596	MNSI1-Feel Weak All Over Most Times	Michigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time?	MNSI - Feel Weak All Over Most Times
	MNSI1-Get Muscle Cramps Legs/Feet		C100590	MNSI1-Get Muscle Cramps Legs/Feet	Michigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet?	MNSI - Muscle Cramps Legs/Feet
	MNSI1-Hurt When Bed Covers Touch Skin		C100592	MNSI1-Hurt When Bed Covers Touch Skin	Michigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin?	MNSI - Hurt When Bed Covers Touch Skin
	MNSI1-Left Ankle Reflexes		C100616	MNSI1-Left Ankle Reflexes	Michigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes.	MNSI - Left Ankle Reflexes
	MNSI1-Left Foot Appears Normal		C100608	MNSI1-Left Foot Appears Normal	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal.	MNSI - Left Foot Appears Normal
	MNSI1-Left Foot Deformities		C100609	MNSI1-Left Foot Deformities	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities.	MNSI - Left Foot Deformities
	MNSI1-Left Foot Dry Skin, Callus		C101020	MNSI1-Left Dry Skin, Callus	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus.	MNSI - Left Foot Dry Skin, Callus
	MNSI1-Left Foot Fissure		C100611	MNSI1-Left Foot Fissure	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure.	MNSI - Left Foot Fissure
	MNSI1-Left Foot Infection		C100610	MNSI1-Left Foot Infection	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection.	MNSI - Left Foot Infection
	MNSI1-Left Foot Monofilament		C100620	MNSI1-Left Foot Monofilament	Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament.	MNSI - Left Foot Monofilament
	MNSI1-Left Foot Other Abnormal Specify		C100612	MNSI1-Left Foot Other Abnormal Specify	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify.	MNSI - Left Foot Other Abnormal Specify
	MNSI1-Left Foot Ulceration		C100614	MNSI1-Left Foot Ulceration	Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration.	MNSI - Left Foot Ulceration
	MNSI1-Left Foot Vibration Great Toe		C100618	MNSI1-Left Foot Vibration Great Toe	Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe.	MNSI - Left Foot Vibration Great Toe
	MNSI1-Legs Hurt When Walking		C100598	MNSI1-Legs Hurt When Walking	Michigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk?	MNSI - Legs Hurt When Walking
	MNSI1-Right Ankle Reflexes		C100615	MNSI1-Right Ankle Reflexes	Michigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes.	MNSI - Right Ankle Reflexes
	MNSI1-Right Foot Appears Normal		C100603	MNSI1-Right Foot Appears Normal	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal.	MNSI - Right Foot Appears Normal
	MNSI1-Right Foot Deformities		C100604	MNSI1-Right Foot Deformities	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities.	MNSI - Right Foot Deformities
	MNSI1-Right Foot Dry Skin, Callus		C101019	MNSI1-Right Foot Dry Skin, Callus	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus.	MNSI - Right Foot Dry Skin, Callus
	MNSI1-Right Foot Fissure		C100606	MNSI1-Right Foot Fissure	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure.	MNSI - Right Foot Fissure
	MNSI1-Right Foot Infection		C100605	MNSI1-Right Foot Infection	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection.	MNSI - Right Foot Infection
	MNSI1-Right Foot Monofilament		C100619	MNSI1-Right Foot Monofilament	Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament.	MNSI - Right Foot Monofilament
	MNSI1-Right Foot Other Abnormal Specify		C100607	MNSI1-Right Foot Other Abnormal Specify	Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify.	MNSI - Right Foot Other Abnormal Specify
	MNSI1-Right Foot Ulceration		C100613	MNSI1-Right Foot Ulceration	Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration.	MNSI - Right Foot Ulceration
	MNSI1-Right Foot Vibration Great Toe		C100617	MNSI1-Right Foot Vibration Great Toe	Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe.	MNSI - Right Foot Vibration Great Toe
	MNSI1-Skin So Dry That Feet Crack Open		C100600	MNSI1-Skin So Dry That Feet Crack Open	Michigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open?	MNSI - Skin So Dry That Feet Crack Open
	MNSI1-Symptoms Worse at Night		C100597	MNSI1-Symptoms Worse at Night	Michigan Neuropathy Screening Instrument - History: Are your symptoms worse at night?	MNSI - Symptoms Worse at Night
	MNSI1-Total		C100602	MNSI1-Total	Michigan Neuropathy Screening Instrument - History: Total.	MNSI - History Total
	MNSI1-Total Score		C100621	MNSI1-Total Score	Michigan Neuropathy Screening Instrument - Physical Assessment: Total Score.	MNSI - Physical Assessment Total Score
Back to top
CL.C113858.MFIS TESTCD	QS-Modified Fatigue Impact Scale Test Code (MFIS TESTCD)	text Extensible: No	C113858	QS-Modified Fatigue Impact Scale Test Code	Modified Fatigue Impact Scale test code.	CDISC Questionnaire Modified Fatigue Impact Scale Test Code Terminology
	MFIS0101		C113967	MFIS01-I Have Been Less Alert	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert.	MFIS - Have Been Less Alert
	MFIS0102		C113968	MFIS01-Have Difficulty Paying Attention	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time.	MFIS - Have Difficulty Paying Attention for Long Time
	MFIS0103		C113969	MFIS01-Have Been Unable to Think Clearly	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly.	MFIS - Unable to Think Clearly
	MFIS0104		C113970	MFIS01-Been Clumsy and Uncoordinated	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated.	MFIS - Have Been Clumsy and Uncoordinated
	MFIS0105		C113971	MFIS01-I Have Been Forgetful	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful.	MFIS - Have Been Forgetful
	MFIS0106		C113972	MFIS01-Pace Myself in Physical Activity	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities.	MFIS - Pace Myself in Physical Activities
	MFIS0107		C113973	MFIS01-Less Motivated, Physical Effort	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort.	MFIS - Less Motivated to Do Anything That Requires Physical Effort
	MFIS0108		C113974	MFIS01-Less Motivated, Social Activity	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities.	MFIS - Less Motivated to Participate in Social Activities
	MFIS0109		C113975	MFIS01-Limited in Ability Away From Home	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home.	MFIS - Limited in My Abilities to Do Things Away From Home
	MFIS0110		C113976	MFIS01-Trouble Maintain Physical Effort	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods.	MFIS - Have Trouble Maintain Physical Effort
	MFIS0111		C113977	MFIS01-Have Difficulty Making Decisions	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions.	MFIS - Have Difficulty Making Decisions
	MFIS0112		C113978	MFIS01-Less Motivated, Thinking	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking.	MFIS - Less Motivated to Do Anything That Requires Thinking
	MFIS0113		C113979	MFIS01-My Muscles Have Felt Weak	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak.	MFIS - Muscles Have Felt Weak
	MFIS0114		C113980	MFIS01-Been Physically Uncomfortable	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable.	MFIS - Been Physically Uncomfortable
	MFIS0115		C113981	MFIS01-Trouble Finishing Thinking Tasks	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking.	MFIS - Have Trouble Finishing Tasks That Require Thinking
	MFIS0116		C113982	MFIS01-Difficulty Organizing My Thoughts	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work.	MFIS - Difficulty Organizing My Thoughts
	MFIS0117		C113983	MFIS01-Less Able Complete Physical Tasks	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort.	MFIS - Less Able to Complete Tasks That Require Physical Effort
	MFIS0118		C113984	MFIS01-My Thinking Has Been Slowed Down	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down.	MFIS - My Thinking Has Been Slowed Down
	MFIS0119		C113985	MFIS01-I Have Had Trouble Concentrating	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating.	MFIS - Have Trouble Concentrating
	MFIS0120		C113986	MFIS01-Have Limited My Physical Activity	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities.	MFIS - Have Limited My Physical Activities
	MFIS0121		C113987	MFIS01-Need to Rest More Often or Longer	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods.	MFIS - Need to Rest More Often or Longer
Back to top
CL.C113857.MFIS TEST	QS-Modified Fatigue Impact Scale Test Name (MFIS TEST)	text Extensible: No	C113857	QS-Modified Fatigue Impact Scale Test Name	Modified Fatigue Impact Scale test name.	CDISC Questionnaire Modified Fatigue Impact Scale Test Name Terminology
	MFIS01-Been Clumsy and Uncoordinated		C113970	MFIS01-Been Clumsy and Uncoordinated	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated.	MFIS - Have Been Clumsy and Uncoordinated
	MFIS01-Been Physically Uncomfortable		C113980	MFIS01-Been Physically Uncomfortable	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable.	MFIS - Been Physically Uncomfortable
	MFIS01-Difficulty Organizing My Thoughts		C113982	MFIS01-Difficulty Organizing My Thoughts	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work.	MFIS - Difficulty Organizing My Thoughts
	MFIS01-Have Been Unable to Think Clearly		C113969	MFIS01-Have Been Unable to Think Clearly	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly.	MFIS - Unable to Think Clearly
	MFIS01-Have Difficulty Making Decisions		C113977	MFIS01-Have Difficulty Making Decisions	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions.	MFIS - Have Difficulty Making Decisions
	MFIS01-Have Difficulty Paying Attention		C113968	MFIS01-Have Difficulty Paying Attention	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time.	MFIS - Have Difficulty Paying Attention for Long Time
	MFIS01-Have Limited My Physical Activity		C113986	MFIS01-Have Limited My Physical Activity	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities.	MFIS - Have Limited My Physical Activities
	MFIS01-I Have Been Forgetful		C113971	MFIS01-I Have Been Forgetful	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful.	MFIS - Have Been Forgetful
	MFIS01-I Have Been Less Alert		C113967	MFIS01-I Have Been Less Alert	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert.	MFIS - Have Been Less Alert
	MFIS01-I Have Had Trouble Concentrating		C113985	MFIS01-I Have Had Trouble Concentrating	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating.	MFIS - Have Trouble Concentrating
	MFIS01-Less Able Complete Physical Tasks		C113983	MFIS01-Less Able Complete Physical Tasks	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort.	MFIS - Less Able to Complete Tasks That Require Physical Effort
	MFIS01-Less Motivated, Physical Effort		C113973	MFIS01-Less Motivated, Physical Effort	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort.	MFIS - Less Motivated to Do Anything That Requires Physical Effort
	MFIS01-Less Motivated, Social Activity		C113974	MFIS01-Less Motivated, Social Activity	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities.	MFIS - Less Motivated to Participate in Social Activities
	MFIS01-Less Motivated, Thinking		C113978	MFIS01-Less Motivated, Thinking	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking.	MFIS - Less Motivated to Do Anything That Requires Thinking
	MFIS01-Limited in Ability Away From Home		C113975	MFIS01-Limited in Ability Away From Home	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home.	MFIS - Limited in My Abilities to Do Things Away From Home
	MFIS01-My Muscles Have Felt Weak		C113979	MFIS01-My Muscles Have Felt Weak	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak.	MFIS - Muscles Have Felt Weak
	MFIS01-My Thinking Has Been Slowed Down		C113984	MFIS01-My Thinking Has Been Slowed Down	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down.	MFIS - My Thinking Has Been Slowed Down
	MFIS01-Need to Rest More Often or Longer		C113987	MFIS01-Need to Rest More Often or Longer	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods.	MFIS - Need to Rest More Often or Longer
	MFIS01-Pace Myself in Physical Activity		C113972	MFIS01-Pace Myself in Physical Activity	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities.	MFIS - Pace Myself in Physical Activities
	MFIS01-Trouble Finishing Thinking Tasks		C113981	MFIS01-Trouble Finishing Thinking Tasks	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking.	MFIS - Have Trouble Finishing Tasks That Require Thinking
	MFIS01-Trouble Maintain Physical Effort		C113976	MFIS01-Trouble Maintain Physical Effort	Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods.	MFIS - Have Trouble Maintain Physical Effort
Back to top
CL.C112445.MHIS-NACC TESTCD	QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code (MHIS-NACC TESTCD)	text Extensible: No	C112445	QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code	Modified Hachinski Ischemic Scale-NACC Version test code.	CDISC Questionnaire MHIS-NACC Test Code Terminology
	MHIS0101		C112618	MHIS01-Abrupt Onset	Modified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status).	MHIS-NACC - Abrupt Onset
	MHIS0102		C112619	MHIS01-Stepwise Deterioration	Modified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status).	MHIS-NACC - Stepwise Deterioration
	MHIS0103		C112813	MHIS01- Somatic Complaints	Modified Hachinski Ischemic Scale-NACC Version - Somatic complaints.	MHIS-NACC - Somatic Complaints
	MHIS0104		C112620	MHIS01-Emotional Incontinence	Modified Hachinski Ischemic Scale-NACC Version - Emotional incontinence.	MHIS-NACC - Emotional Incontinence
	MHIS0105		C112621	MHIS01-History or Presence Hypertension	Modified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension.	MHIS-NACC - History or Presence of Hypertension
	MHIS0106		C112622	MHIS01-History of Stroke	Modified Hachinski Ischemic Scale-NACC Version - History of stroke.	MHIS-NACC - History of Stroke
	MHIS0107		C112623	MHIS01-Focal Neurological Symptoms	Modified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms.	MHIS-NACC - Focal Neurological Symptoms
	MHIS0108		C112624	MHIS01-Focal Neurological Signs	Modified Hachinski Ischemic Scale-NACC Version - Focal neurological signs.	MHIS-NACC - Focal Neurological Signs
	MHIS0109		C112625	MHIS01-Total Score	Modified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score.	MHIS-NACC - Total Score
Back to top
CL.C112444.MHIS-NACC TEST	QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name (MHIS-NACC TEST)	text Extensible: No	C112444	QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name	Modified Hachinski Ischemic Scale-NACC Version test name.	CDISC Questionnaire MHIS-NACC Test Name Terminology
	MHIS01- Somatic Complaints		C112813	MHIS01- Somatic Complaints	Modified Hachinski Ischemic Scale-NACC Version - Somatic complaints.	MHIS-NACC - Somatic Complaints
	MHIS01-Abrupt Onset		C112618	MHIS01-Abrupt Onset	Modified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status).	MHIS-NACC - Abrupt Onset
	MHIS01-Emotional Incontinence		C112620	MHIS01-Emotional Incontinence	Modified Hachinski Ischemic Scale-NACC Version - Emotional incontinence.	MHIS-NACC - Emotional Incontinence
	MHIS01-Focal Neurological Signs		C112624	MHIS01-Focal Neurological Signs	Modified Hachinski Ischemic Scale-NACC Version - Focal neurological signs.	MHIS-NACC - Focal Neurological Signs
	MHIS01-Focal Neurological Symptoms		C112623	MHIS01-Focal Neurological Symptoms	Modified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms.	MHIS-NACC - Focal Neurological Symptoms
	MHIS01-History of Stroke		C112622	MHIS01-History of Stroke	Modified Hachinski Ischemic Scale-NACC Version - History of stroke.	MHIS-NACC - History of Stroke
	MHIS01-History or Presence Hypertension		C112621	MHIS01-History or Presence Hypertension	Modified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension.	MHIS-NACC - History or Presence of Hypertension
	MHIS01-Stepwise Deterioration		C112619	MHIS01-Stepwise Deterioration	Modified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status).	MHIS-NACC - Stepwise Deterioration
	MHIS01-Total Score		C112625	MHIS01-Total Score	Modified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score.	MHIS-NACC - Total Score
Back to top
CL.C106669.MMRC TESTCD	QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code (MMRC TESTCD)	text Extensible: No	C106669	QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code	Modified Medical Research Council Dyspnea Scale test code.	CDISC Questionnaire MMRC Test Code Terminology
	MMRC0101		C106852	MMRC01-Description of Breathlessness	Modified Medical Research Council Dyspnea Scale - Description of breathlessness.	MMRC - Description of Level of Breathlessness
Back to top
CL.C106668.MMRC TEST	QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name (MMRC TEST)	text Extensible: No	C106668	QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name	Modified Medical Research Council Dyspnea Scale test name.	CDISC Questionnaire MMRC Test Name Terminology
	MMRC01-Description of Breathlessness		C106852	MMRC01-Description of Breathlessness	Modified Medical Research Council Dyspnea Scale - Description of breathlessness.	MMRC - Description of Level of Breathlessness
Back to top
CL.C111348.MRS TESTCD	QS-Modified Rankin Scale Questionnaire Test Code (MRS TESTCD)	text Extensible: No	C111348	QS-Modified Rankin Scale Questionnaire Test Code	Modified Rankin Scale test code.	CDISC Questionnaire MRS Test Code Terminology
	MRS0101		C111520	MRS01-Modified Rankin Scale Score	Modified Rankin Scale - Modified Rankin Scale Score.	MRS - Modified Rankin Scale Score
Back to top
CL.C111347.MRS TEST	QS-Modified Rankin Scale Questionnaire Test Name (MRS TEST)	text Extensible: No	C111347	QS-Modified Rankin Scale Questionnaire Test Name	Modified Rankin Scale test name.	CDISC Questionnaire MRS Test Name Terminology
	MRS01-Modified Rankin Scale Score		C111520	MRS01-Modified Rankin Scale Score	Modified Rankin Scale - Modified Rankin Scale Score.	MRS - Modified Rankin Scale Score
Back to top
CL.C100140.MDS-UPDRS TESTCD	QS-Movement Disorder Society UPDRS Test Code (MDS-UPDRS TESTCD)	text Extensible: No	C100140	QS-Movement Disorder Society UPDRS Test Code	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test code.	CDISC Questionnaire MDS-UPDRS Test Code Terminology
	UPD2101		C100473	UPD2-Cognitive Impairment	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town?	MDS-UPDRS - Cognitive Impairment
	UPD2102		C100474	UPD2-Hallucinations and Psychosis	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there?	MDS-UPDRS - Hallucinations and Psychosis
	UPD2103		C100475	UPD2-Depressed Mood	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people?	MDS-UPDRS - Depressed Mood
	UPD2104		C100476	UPD2-Anxious Mood	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people?	MDS-UPDRS - Anxious Mood
	UPD2105		C100477	UPD2-Apathy	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people?	MDS-UPDRS - Apathy
	UPD2106		C100478	UPD2-Ftrs Dopa Dysregulation Synd	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop?	MDS-UPDRS - Features of Dopamine Dysregulation Syndrome
	UPD2107		C100479	UPD2-Sleep Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night?	MDS-UPDRS - Sleep Problems
	UPD2108		C100480	UPD2-Daytime Sleepiness	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime?	MDS-UPDRS - Daytime Sleepiness
	UPD2109		C100481	UPD2-Pain and other Sensations	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps?	MDS-UPDRS - Pain and Other Sensations
	UPD2110		C100482	UPD2-Urinary Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control?	MDS-UPDRS - Urinary Problems
	UPD2111		C100483	UPD2-Constipation Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels?	MDS-UPDRS - Constipation Problems
	UPD2112		C100484	UPD2-Lightheadedness on Standing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down?	MDS-UPDRS - Lightheadedness on Standing
	UPD2113		C100485	UPD2-Fatigue	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued?	MDS-UPDRS - Fatigue
	UPD2201		C100486	UPD2-Speech	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech?	MDS-UPDRS - Speech
	UPD2202		C100487	UPD2-Saliva and Drooling	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep?	MDS-UPDRS - Saliva and Drooling
	UPD2203		C100488	UPD2-Chewing and Swallowing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals?	MDS-UPDRS - Chewing and Swallowing
	UPD2204		C100489	UPD2-Eating Tasks	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils?	MDS-UPDRS - Eating Tasks
	UPD2205		C100490	UPD2-Dressing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing?	MDS-UPDRS - Dressing
	UPD2206		C100491	UPD2-Hygiene	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene?	MDS-UPDRS - Hygiene
	UPD2207		C100492	UPD2-Handwriting	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting?	MDS-UPDRS - Handwriting
	UPD2208		C100493	UPD2-Doing Hobbies/Other Activities	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do?	MDS-UPDRS - Doing Hobbies and Other Activities
	UPD2209		C100494	UPD2-Turning in Bed	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed?	MDS-UPDRS - Turning in Bed
	UPD2210		C100495	UPD2-Tremor	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor?	MDS-UPDRS - Tremor
	UPD2211		C101018	UPD2-Get Out of Bed/Car/Deep Chair	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair?	MDS-UPDRS - Get Out of Bed, Car, or Deep Chair
	UPD2212		C100496	UPD2-Walking and Balance	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking?	MDS-UPDRS - Walking and Balance
	UPD2213		C100497	UPD2-Freezing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor?	MDS-UPDRS - Freezing
	UPD2301		C100502	UPD2-Speech Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems.	MDS-UPDRS - Speech Problems
	UPD2302		C100503	UPD2-Facial Expression	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression.	MDS-UPDRS - Facial Expression
	UPD2303A		C100504	UPD2-Rigidity Neck	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck.	MDS-UPDRS - Rigidity Neck
	UPD2303B		C100505	UPD2-Rigidity RT Upper Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity.	MDS-UPDRS - Rigidity Right Upper Extremity
	UPD2303C		C100506	UPD2-Rigidity Left Upper Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity.	MDS-UPDRS - Rigidity Left Upper Extremity
	UPD2303D		C100507	UPD2-Rigidity RT Lower Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity.	MDS-UPDRS - Rigidity Right Lower Extremity
	UPD2303E		C100508	UPD2-Rigidity Left Lower Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity.	MDS-UPDRS - Rigidity Left Lower Extremity
	UPD2304A		C100509	UPD2-Right Finger Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping.	MDS-UPDRS - Right Finger Tapping
	UPD2304B		C100510	UPD2-Left Finger Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping.	MDS-UPDRS - Left Finger Tapping
	UPD2305A		C100511	UPD2-Right Hand Movements	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements.	MDS-UPDRS - Right Hand Movements
	UPD2305B		C100512	UPD2-Left Hand Movements	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements.	MDS-UPDRS - Left Hand Movements
	UPD2306A		C100513	UPD2-Pron/Sup Movement of RT Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand.	MDS-UPDRS - Pronanation-Supination Movement of Right Hand
	UPD2306B		C100514	UPD2-Pron/Sup Movement of Left Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand.	MDS-UPDRS - Pronanation-Supination Movement of Left Hand
	UPD2307A		C100515	UPD2-Right Toe Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping.	MDS-UPDRS - Right Toe Tapping
	UPD2307B		C100516	UPD2-Left Toe Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping.	MDS-UPDRS - Left Toe Tapping
	UPD2308A		C100517	UPD2-Right Leg Agility	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility.	MDS-UPDRS - Right Leg Agility
	UPD2308B		C100518	UPD2-Left Leg Agility	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility.	MDS-UPDRS - Left Leg Agility
	UPD2309		C100519	UPD2-Arising from Chair	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair.	MDS-UPDRS - Arising from Chair
	UPD2310		C100520	UPD2-Gait	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait.	MDS-UPDRS - Gait
	UPD2311		C100521	UPD2-Freezing of Gait	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait.	MDS-UPDRS - Freezing of Gait
	UPD2312		C100522	UPD2-Postural Stability	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability.	MDS-UPDRS - Postural Stability
	UPD2313		C100523	UPD2-Posture	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture.	MDS-UPDRS - Posture
	UPD2314		C100524	UPD2-Body Bradykinesia	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia).	MDS-UPDRS - Body Bradykinesia
	UPD2315A		C100525	UPD2-Postural Tremor of Right Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand.	MDS-UPDRS - Postural Tremor of Right Hand
	UPD2315B		C113882	UPD2-Postural Tremor of Left Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand.	MDS-UPDRS - Postural Tremor of Left Hand
	UPD2316A		C113883	UPD2-Kinetic Tremor of Right Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand.	MDS-UPDRS - Kinetic Tremor of Right Hand
	UPD2316B		C100526	UPD2-Kinetic Tremor of Left Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand.	MDS-UPDRS - Kinetic Tremor of Left Hand
	UPD2317A		C100527	UPD2-Rest Tremor Amplitude RUE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity.	MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity
	UPD2317B		C100528	UPD2-Rest Tremor Amplitude LUE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity.	MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity
	UPD2317C		C100529	UPD2-Rest Tremor Amplitude RLE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity.	MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity
	UPD2317D		C100530	UPD2-Rest Tremor Amplitude LLE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity.	MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity
	UPD2317E		C100531	UPD2-Rest Tremor Amplitude Lip/Jaw	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw.	MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw
	UPD2318		C100532	UPD2-Consistency of Rest Tremor	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor.	MDS-UPDRS - Consistency of Rest Tremor
	UPD23A		C100498	UPD2-Medication for PD	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease?	MDS-UPDRS - Medication for Parkinson's Disease
	UPD23B		C100499	UPD2-Clinical State on Meds	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state.	MDS-UPDRS - Clinical State on Medication
	UPD23C		C100500	UPD2-Taking Levodopa	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa?	MDS-UPDRS - Taking Levodopa
	UPD23C1		C100501	UPD2-Minutes Since Levodopa Dose	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose.	MDS-UPDRS - Minutes Since Levodopa Dose
	UPD2401		C100536	UPD2-Time Spent with Dyskinesias	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias.	MDS-UPDRS - Time Spent with Dyskinesias
	UPD2402		C100537	UPD2-Functional Impact Dyskinesias	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias.	MDS-UPDRS - Functional Impact of Dyskinesias
	UPD2403		C100538	UPD2-Time Spent in the Off State	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State.	MDS-UPDRS - Time Spent in the Off State
	UPD2404		C100539	UPD2-Functional Impact Fluctuations	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations.	MDS-UPDRS - Functional Impact of Fluctuations
	UPD2405		C100540	UPD2-Complexity Motor Fluctuations	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations.	MDS-UPDRS - Complexity of Motor Fluctuations
	UPD2406		C100541	UPD2-Painful Off-state Dystonia	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia.	MDS-UPDRS - Painful Off-state Dystonia
	UPD2DA		C100533	UPD2-Dyskinesias During Exam	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination?	MDS-UPDRS - Dyskinesias During Exam
	UPD2DB		C100534	UPD2-Movements Interfere Ratings	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings?	MDS-UPDRS - Movements Interfere with Ratings
	UPD2HY		C100535	UPD2-Hoehn and Yahr Stage	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage.	MDS-UPDRS - Hoehn and Yahr Stage
Back to top
CL.C100139.MDS-UPDRS TEST	QS-Movement Disorder Society UPDRS Test Name (MDS-UPDRS TEST)	text Extensible: No	C100139	QS-Movement Disorder Society UPDRS Test Name	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test name.	CDISC Questionnaire MDS-UPDRS Test Name Terminology
	UPD2-Anxious Mood		C100476	UPD2-Anxious Mood	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people?	MDS-UPDRS - Anxious Mood
	UPD2-Apathy		C100477	UPD2-Apathy	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people?	MDS-UPDRS - Apathy
	UPD2-Arising from Chair		C100519	UPD2-Arising from Chair	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair.	MDS-UPDRS - Arising from Chair
	UPD2-Body Bradykinesia		C100524	UPD2-Body Bradykinesia	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia).	MDS-UPDRS - Body Bradykinesia
	UPD2-Chewing and Swallowing		C100488	UPD2-Chewing and Swallowing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals?	MDS-UPDRS - Chewing and Swallowing
	UPD2-Clinical State on Meds		C100499	UPD2-Clinical State on Meds	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state.	MDS-UPDRS - Clinical State on Medication
	UPD2-Cognitive Impairment		C100473	UPD2-Cognitive Impairment	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town?	MDS-UPDRS - Cognitive Impairment
	UPD2-Complexity Motor Fluctuations		C100540	UPD2-Complexity Motor Fluctuations	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations.	MDS-UPDRS - Complexity of Motor Fluctuations
	UPD2-Consistency of Rest Tremor		C100532	UPD2-Consistency of Rest Tremor	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor.	MDS-UPDRS - Consistency of Rest Tremor
	UPD2-Constipation Problems		C100483	UPD2-Constipation Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels?	MDS-UPDRS - Constipation Problems
	UPD2-Daytime Sleepiness		C100480	UPD2-Daytime Sleepiness	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime?	MDS-UPDRS - Daytime Sleepiness
	UPD2-Depressed Mood		C100475	UPD2-Depressed Mood	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people?	MDS-UPDRS - Depressed Mood
	UPD2-Doing Hobbies/Other Activities		C100493	UPD2-Doing Hobbies/Other Activities	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do?	MDS-UPDRS - Doing Hobbies and Other Activities
	UPD2-Dressing		C100490	UPD2-Dressing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing?	MDS-UPDRS - Dressing
	UPD2-Dyskinesias During Exam		C100533	UPD2-Dyskinesias During Exam	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination?	MDS-UPDRS - Dyskinesias During Exam
	UPD2-Eating Tasks		C100489	UPD2-Eating Tasks	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils?	MDS-UPDRS - Eating Tasks
	UPD2-Facial Expression		C100503	UPD2-Facial Expression	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression.	MDS-UPDRS - Facial Expression
	UPD2-Fatigue		C100485	UPD2-Fatigue	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued?	MDS-UPDRS - Fatigue
	UPD2-Freezing		C100497	UPD2-Freezing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor?	MDS-UPDRS - Freezing
	UPD2-Freezing of Gait		C100521	UPD2-Freezing of Gait	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait.	MDS-UPDRS - Freezing of Gait
	UPD2-Ftrs Dopa Dysregulation Synd		C100478	UPD2-Ftrs Dopa Dysregulation Synd	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop?	MDS-UPDRS - Features of Dopamine Dysregulation Syndrome
	UPD2-Functional Impact Dyskinesias		C100537	UPD2-Functional Impact Dyskinesias	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias.	MDS-UPDRS - Functional Impact of Dyskinesias
	UPD2-Functional Impact Fluctuations		C100539	UPD2-Functional Impact Fluctuations	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations.	MDS-UPDRS - Functional Impact of Fluctuations
	UPD2-Gait		C100520	UPD2-Gait	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait.	MDS-UPDRS - Gait
	UPD2-Get Out of Bed/Car/Deep Chair		C101018	UPD2-Get Out of Bed/Car/Deep Chair	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair?	MDS-UPDRS - Get Out of Bed, Car, or Deep Chair
	UPD2-Hallucinations and Psychosis		C100474	UPD2-Hallucinations and Psychosis	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there?	MDS-UPDRS - Hallucinations and Psychosis
	UPD2-Handwriting		C100492	UPD2-Handwriting	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting?	MDS-UPDRS - Handwriting
	UPD2-Hoehn and Yahr Stage		C100535	UPD2-Hoehn and Yahr Stage	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage.	MDS-UPDRS - Hoehn and Yahr Stage
	UPD2-Hygiene		C100491	UPD2-Hygiene	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene?	MDS-UPDRS - Hygiene
	UPD2-Kinetic Tremor of Left Hand		C100526	UPD2-Kinetic Tremor of Left Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand.	MDS-UPDRS - Kinetic Tremor of Left Hand
	UPD2-Kinetic Tremor of Right Hand		C113883	UPD2-Kinetic Tremor of Right Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand.	MDS-UPDRS - Kinetic Tremor of Right Hand
	UPD2-Left Finger Tapping		C100510	UPD2-Left Finger Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping.	MDS-UPDRS - Left Finger Tapping
	UPD2-Left Hand Movements		C100512	UPD2-Left Hand Movements	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements.	MDS-UPDRS - Left Hand Movements
	UPD2-Left Leg Agility		C100518	UPD2-Left Leg Agility	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility.	MDS-UPDRS - Left Leg Agility
	UPD2-Left Toe Tapping		C100516	UPD2-Left Toe Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping.	MDS-UPDRS - Left Toe Tapping
	UPD2-Lightheadedness on Standing		C100484	UPD2-Lightheadedness on Standing	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down?	MDS-UPDRS - Lightheadedness on Standing
	UPD2-Medication for PD		C100498	UPD2-Medication for PD	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease?	MDS-UPDRS - Medication for Parkinson's Disease
	UPD2-Minutes Since Levodopa Dose		C100501	UPD2-Minutes Since Levodopa Dose	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose.	MDS-UPDRS - Minutes Since Levodopa Dose
	UPD2-Movements Interfere Ratings		C100534	UPD2-Movements Interfere Ratings	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings?	MDS-UPDRS - Movements Interfere with Ratings
	UPD2-Pain and other Sensations		C100481	UPD2-Pain and other Sensations	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps?	MDS-UPDRS - Pain and Other Sensations
	UPD2-Painful Off-state Dystonia		C100541	UPD2-Painful Off-state Dystonia	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia.	MDS-UPDRS - Painful Off-state Dystonia
	UPD2-Postural Stability		C100522	UPD2-Postural Stability	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability.	MDS-UPDRS - Postural Stability
	UPD2-Postural Tremor of Left Hand		C113882	UPD2-Postural Tremor of Left Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand.	MDS-UPDRS - Postural Tremor of Left Hand
	UPD2-Postural Tremor of Right Hand		C100525	UPD2-Postural Tremor of Right Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand.	MDS-UPDRS - Postural Tremor of Right Hand
	UPD2-Posture		C100523	UPD2-Posture	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture.	MDS-UPDRS - Posture
	UPD2-Pron/Sup Movement of Left Hand		C100514	UPD2-Pron/Sup Movement of Left Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand.	MDS-UPDRS - Pronanation-Supination Movement of Left Hand
	UPD2-Pron/Sup Movement of RT Hand		C100513	UPD2-Pron/Sup Movement of RT Hand	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand.	MDS-UPDRS - Pronanation-Supination Movement of Right Hand
	UPD2-Rest Tremor Amplitude Lip/Jaw		C100531	UPD2-Rest Tremor Amplitude Lip/Jaw	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw.	MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw
	UPD2-Rest Tremor Amplitude LLE		C100530	UPD2-Rest Tremor Amplitude LLE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity.	MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity
	UPD2-Rest Tremor Amplitude LUE		C100528	UPD2-Rest Tremor Amplitude LUE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity.	MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity
	UPD2-Rest Tremor Amplitude RLE		C100529	UPD2-Rest Tremor Amplitude RLE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity.	MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity
	UPD2-Rest Tremor Amplitude RUE		C100527	UPD2-Rest Tremor Amplitude RUE	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity.	MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity
	UPD2-Right Finger Tapping		C100509	UPD2-Right Finger Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping.	MDS-UPDRS - Right Finger Tapping
	UPD2-Right Hand Movements		C100511	UPD2-Right Hand Movements	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements.	MDS-UPDRS - Right Hand Movements
	UPD2-Right Leg Agility		C100517	UPD2-Right Leg Agility	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility.	MDS-UPDRS - Right Leg Agility
	UPD2-Right Toe Tapping		C100515	UPD2-Right Toe Tapping	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping.	MDS-UPDRS - Right Toe Tapping
	UPD2-Rigidity Left Lower Extremity		C100508	UPD2-Rigidity Left Lower Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity.	MDS-UPDRS - Rigidity Left Lower Extremity
	UPD2-Rigidity Left Upper Extremity		C100506	UPD2-Rigidity Left Upper Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity.	MDS-UPDRS - Rigidity Left Upper Extremity
	UPD2-Rigidity Neck		C100504	UPD2-Rigidity Neck	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck.	MDS-UPDRS - Rigidity Neck
	UPD2-Rigidity RT Lower Extremity		C100507	UPD2-Rigidity RT Lower Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity.	MDS-UPDRS - Rigidity Right Lower Extremity
	UPD2-Rigidity RT Upper Extremity		C100505	UPD2-Rigidity RT Upper Extremity	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity.	MDS-UPDRS - Rigidity Right Upper Extremity
	UPD2-Saliva and Drooling		C100487	UPD2-Saliva and Drooling	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep?	MDS-UPDRS - Saliva and Drooling
	UPD2-Sleep Problems		C100479	UPD2-Sleep Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night?	MDS-UPDRS - Sleep Problems
	UPD2-Speech		C100486	UPD2-Speech	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech?	MDS-UPDRS - Speech
	UPD2-Speech Problems		C100502	UPD2-Speech Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems.	MDS-UPDRS - Speech Problems
	UPD2-Taking Levodopa		C100500	UPD2-Taking Levodopa	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa?	MDS-UPDRS - Taking Levodopa
	UPD2-Time Spent in the Off State		C100538	UPD2-Time Spent in the Off State	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State.	MDS-UPDRS - Time Spent in the Off State
	UPD2-Time Spent with Dyskinesias		C100536	UPD2-Time Spent with Dyskinesias	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias.	MDS-UPDRS - Time Spent with Dyskinesias
	UPD2-Tremor		C100495	UPD2-Tremor	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor?	MDS-UPDRS - Tremor
	UPD2-Turning in Bed		C100494	UPD2-Turning in Bed	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed?	MDS-UPDRS - Turning in Bed
	UPD2-Urinary Problems		C100482	UPD2-Urinary Problems	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control?	MDS-UPDRS - Urinary Problems
	UPD2-Walking and Balance		C100496	UPD2-Walking and Balance	The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking?	MDS-UPDRS - Walking and Balance
Back to top
CL.C113860.MSQOL-54 TESTCD	QS-Multiple Sclerosis Quality of Life-54 Instrument Test Code (MSQOL-54 TESTCD)	text Extensible: No	C113860	QS-Multiple Sclerosis Quality of Life-54 Instrument Test Code	Multiple Sclerosis Quality of Life-54 Instrument test code.	CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Code Terminology
	MSQL101		C113988	MSQL1-Would You Say Your Health Is	Multiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is:	MSQOL-54 - Would You Say Your Health Is
	MSQL102		C113989	MSQL1-Health Now Compared to 1 Year Ago	Multiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now?	MSQOL-54 - Health Now Compared to One Year Ago
	MSQL103		C113990	MSQL1-Health Limit Vigorous Activities	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.	MSQOL-54 - Health Limit Vigorous Activities
	MSQL104		C113991	MSQL1-Health Limit Moderate Activities	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.	MSQOL-54 - Health Limit Moderate Activities
	MSQL105		C113992	MSQL1-Health Limit Carrying Groceries	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries.	MSQOL-54 - Health Limit Lifting or Carrying Groceries
	MSQL106		C113993	MSQL1-Health Limit Climb Several Flights	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs.	MSQOL-54 - Health Limit Climbing Several Stairs
	MSQL107		C113994	MSQL1-Health Limit Climb One Flight	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs.	MSQOL-54 - Health Limit Climbing One Stair
	MSQL108		C113995	MSQL1-Health Limit Bending or Kneeling	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping.	MSQOL-54 - Health Limit Bending, Kneeling or Stooping
	MSQL109		C113996	MSQL1-Health Limit Walk More Than Mile	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile.	MSQOL-54 - Health Limit Walking More than A Mile
	MSQL110		C113997	MSQL1-Health Limit Walk Several Blocks	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks.	MSQOL-54 - Health Limit Walking Several Blocks
	MSQL111		C113998	MSQL1-Health Limit Walk One Block	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block.	MSQOL-54 - Health Limit Walking One Block
	MSQL112		C113999	MSQL1-Health Limit Bathing/Dressing Self	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself.	MSQOL-54 - Health Limit Bathing and Dressing Yourself
	MSQL113		C114000	MSQL1-Phys Health: Cut Work Time	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities.	MSQOL-54 - Physical Health Cut Down Time on Work
	MSQL114		C114001	MSQL1-Phys Health: Accomplish Less	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.	MSQOL-54 - Physical Health Accomplish Less
	MSQL115		C114002	MSQL1-Phys Health: Limit Kind of Work	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.	MSQOL-54 - Physical Health Limited in the Kind of Work
	MSQL116		C114003	MSQL1-Phys Health: Difficulty Performing	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.	MSQOL-54 - Physical Health Difficulty Perform Work
	MSQL117		C114004	MSQL1-Emotional Problem: Cut Work Time	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities.	MSQOL-54 - Emotional Problem Cut Down Time on Work
	MSQL118		C114005	MSQL1-Emotional Problem: Accomplish Less	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.	MSQOL-54 - Emotional Problem Accomplish Less
	MSQL119		C114006	MSQL1-Emotional Problem: Less Careful	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.	MSQOL-54 - Emotional Problem Did Not Do Work Carefully
	MSQL120		C114007	MSQL1-Extent Interfered Social Activity	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?	MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities
	MSQL121		C114008	MSQL1-How Much Bodily Pain Have You Had	Multiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks?	MSQOL-54 - Bodily Pain
	MSQL122		C114009	MSQL1-Did Pain Interfere With Your Work	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work?	MSQOL-54 - Pain Interfere With Normal Work
	MSQL123		C114010	MSQL1-Did You Feel Full of Pep	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep?	MSQOL-54 - Feel Full of Pep
	MSQL124		C114011	MSQL1-Have Been a Very Nervous Person	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person?	MSQOL-54 - Been a Nervous Person
	MSQL125		C114012	MSQL1-Have Felt So Down in the Dumps	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?	MSQOL-54 - Felt So Down Nothing Could Cheer You Up
	MSQL126		C114013	MSQL1-Have You Felt Calm and Peaceful	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful?	MSQOL-54 - Felt Calm and Peaceful
	MSQL127		C114014	MSQL1-Did You Have a Lot of Energy	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy?	MSQOL-54 - Have a Lot of Energy
	MSQL128		C114015	MSQL1-Have Felt Downhearted and Blue	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue?	MSQOL-54 - Felt Downhearted and Blue
	MSQL129		C114016	MSQL1-Did You Feel Worn Out	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out?	MSQOL-54 - Feel Worn Out
	MSQL130		C114017	MSQL1-Have You Been a Happy Person	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person?	MSQOL-54 - Been a Happy Person
	MSQL131		C114018	MSQL1-Did You Feel Tired	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired?	MSQOL-54 - Feel Tired
	MSQL132		C114019	MSQL1-Did You Feel Rested on Waking	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning?	MSQOL-54 - Feel Rested Waking in the Morning
	MSQL133		C114020	MSQL1-Amt Time Interfere Social Activity	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?	MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities
	MSQL134		C114021	MSQL1-Get Sick Easier Than Other People	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.	MSQOL-54 - Get Sick Easier Than Other
	MSQL135		C114022	MSQL1-I Am as Healthy as Anybody I Know	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.	MSQOL-54 - As Healthy as Anybody
	MSQL136		C114023	MSQL1-I Expect My Health to Get Worse	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.	MSQOL-54 - Expect Health to Get Worse
	MSQL137		C114024	MSQL1-My Health Is Excellent	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent.	MSQOL-54 - Health is Excellent
	MSQL138		C114025	MSQL1-Discouraged by Health Problems	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems?	MSQOL-54 - Discouraged by Health Problem
	MSQL139		C114026	MSQL1-Were Frustrated About Your Health	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health?	MSQOL-54 - Frustrated With Health
	MSQL140		C114027	MSQL1-Was Health a Worry in Your Life	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life?	MSQOL-54 - Health a Worry in Life
	MSQL141		C114028	MSQL1-Weighed Down by Health Problems	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems?	MSQOL-54 - Feel Weighed Down by Health Problem
	MSQL142		C114029	MSQL1-Difficulty Concentrating/Thinking	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking?	MSQOL-54 - Difficulty Concentrating and Thinking
	MSQL143		C114030	MSQL1-Trouble Keep Attention for Long	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long?	MSQOL-54 - Trouble Keep Attention for Long
	MSQL144		C114031	MSQL1-Have Had Trouble With Your Memory	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory?	MSQOL-54 - Trouble With Memory
	MSQL145		C114032	MSQL1-Others Notice Your Memory Trouble	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration?	MSQOL-54 - Others Notice Your Problems With Memory or Concentration
	MSQL146		C114033	MSQL1-Lack of Sexual Interest	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest.	MSQOL-54 - Lack of Sexual Interest
	MSQL147M		C114034	MSQL1-Difficult Getting/Keeping Erection	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection.	MSQOL-54 - Difficulty Keeping an Erection
	MSQL147W		C114035	MSQL1-Inadequate Lubrication	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication.	MSQOL-54 - Inadequate Lubrication
	MSQL148		C114036	MSQL1-Difficulty Having Orgasm	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm.	MSQOL-54 - Difficulty Having Orgasm
	MSQL149		C114037	MSQL1-Ability to Satisfy Sexual Partner	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner.	MSQOL-54 - Ability to Satisfy Sexual Partner
	MSQL150		C114038	MSQL1-Satisfied With Sexual Function	Multiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks?	MSQOL-54 - Satisfied With Sexual Function
	MSQL151		C114039	MSQL1-Bowel/Bladder Interfered Activity	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups?	MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities
	MSQL152		C114040	MSQL1-Pain Interfere Enjoyment of Life	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life?	MSQOL-54 - Pain Interfere Enjoyment of Life
	MSQL153		C114041	MSQL1-Rate Your Own Quality-of-Life	Multiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life?	MSQOL-54 - Rate Your Own Quality of Life
	MSQL154		C114042	MSQL1-Describe How Feel About Your Life	Multiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole?	MSQOL-54 - Describe How You Feel About Your Life
Back to top
CL.C113859.MSQOL-54 TEST	QS-Multiple Sclerosis Quality of Life-54 Instrument Test Name (MSQOL-54 TEST)	text Extensible: No	C113859	QS-Multiple Sclerosis Quality of Life-54 Instrument Test Name	Multiple Sclerosis Quality of Life-54 Instrument test name.	CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Name Terminology
	MSQL1-Ability to Satisfy Sexual Partner		C114037	MSQL1-Ability to Satisfy Sexual Partner	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner.	MSQOL-54 - Ability to Satisfy Sexual Partner
	MSQL1-Amt Time Interfere Social Activity		C114020	MSQL1-Amt Time Interfere Social Activity	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?	MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities
	MSQL1-Bowel/Bladder Interfered Activity		C114039	MSQL1-Bowel/Bladder Interfered Activity	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups?	MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities
	MSQL1-Describe How Feel About Your Life		C114042	MSQL1-Describe How Feel About Your Life	Multiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole?	MSQOL-54 - Describe How You Feel About Your Life
	MSQL1-Did Pain Interfere With Your Work		C114009	MSQL1-Did Pain Interfere With Your Work	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work?	MSQOL-54 - Pain Interfere With Normal Work
	MSQL1-Did You Feel Full of Pep		C114010	MSQL1-Did You Feel Full of Pep	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep?	MSQOL-54 - Feel Full of Pep
	MSQL1-Did You Feel Rested on Waking		C114019	MSQL1-Did You Feel Rested on Waking	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning?	MSQOL-54 - Feel Rested Waking in the Morning
	MSQL1-Did You Feel Tired		C114018	MSQL1-Did You Feel Tired	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired?	MSQOL-54 - Feel Tired
	MSQL1-Did You Feel Worn Out		C114016	MSQL1-Did You Feel Worn Out	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out?	MSQOL-54 - Feel Worn Out
	MSQL1-Did You Have a Lot of Energy		C114014	MSQL1-Did You Have a Lot of Energy	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy?	MSQOL-54 - Have a Lot of Energy
	MSQL1-Difficult Getting/Keeping Erection		C114034	MSQL1-Difficult Getting/Keeping Erection	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection.	MSQOL-54 - Difficulty Keeping an Erection
	MSQL1-Difficulty Concentrating/Thinking		C114029	MSQL1-Difficulty Concentrating/Thinking	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking?	MSQOL-54 - Difficulty Concentrating and Thinking
	MSQL1-Difficulty Having Orgasm		C114036	MSQL1-Difficulty Having Orgasm	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm.	MSQOL-54 - Difficulty Having Orgasm
	MSQL1-Discouraged by Health Problems		C114025	MSQL1-Discouraged by Health Problems	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems?	MSQOL-54 - Discouraged by Health Problem
	MSQL1-Emotional Problem: Accomplish Less		C114005	MSQL1-Emotional Problem: Accomplish Less	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.	MSQOL-54 - Emotional Problem Accomplish Less
	MSQL1-Emotional Problem: Cut Work Time		C114004	MSQL1-Emotional Problem: Cut Work Time	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities.	MSQOL-54 - Emotional Problem Cut Down Time on Work
	MSQL1-Emotional Problem: Less Careful		C114006	MSQL1-Emotional Problem: Less Careful	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.	MSQOL-54 - Emotional Problem Did Not Do Work Carefully
	MSQL1-Extent Interfered Social Activity		C114007	MSQL1-Extent Interfered Social Activity	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?	MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities
	MSQL1-Get Sick Easier Than Other People		C114021	MSQL1-Get Sick Easier Than Other People	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.	MSQOL-54 - Get Sick Easier Than Other
	MSQL1-Have Been a Very Nervous Person		C114011	MSQL1-Have Been a Very Nervous Person	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person?	MSQOL-54 - Been a Nervous Person
	MSQL1-Have Felt Downhearted and Blue		C114015	MSQL1-Have Felt Downhearted and Blue	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue?	MSQOL-54 - Felt Downhearted and Blue
	MSQL1-Have Felt So Down in the Dumps		C114012	MSQL1-Have Felt So Down in the Dumps	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?	MSQOL-54 - Felt So Down Nothing Could Cheer You Up
	MSQL1-Have Had Trouble With Your Memory		C114031	MSQL1-Have Had Trouble With Your Memory	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory?	MSQOL-54 - Trouble With Memory
	MSQL1-Have You Been a Happy Person		C114017	MSQL1-Have You Been a Happy Person	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person?	MSQOL-54 - Been a Happy Person
	MSQL1-Have You Felt Calm and Peaceful		C114013	MSQL1-Have You Felt Calm and Peaceful	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful?	MSQOL-54 - Felt Calm and Peaceful
	MSQL1-Health Limit Bathing/Dressing Self		C113999	MSQL1-Health Limit Bathing/Dressing Self	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself.	MSQOL-54 - Health Limit Bathing and Dressing Yourself
	MSQL1-Health Limit Bending or Kneeling		C113995	MSQL1-Health Limit Bending or Kneeling	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping.	MSQOL-54 - Health Limit Bending, Kneeling or Stooping
	MSQL1-Health Limit Carrying Groceries		C113992	MSQL1-Health Limit Carrying Groceries	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries.	MSQOL-54 - Health Limit Lifting or Carrying Groceries
	MSQL1-Health Limit Climb One Flight		C113994	MSQL1-Health Limit Climb One Flight	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs.	MSQOL-54 - Health Limit Climbing One Stair
	MSQL1-Health Limit Climb Several Flights		C113993	MSQL1-Health Limit Climb Several Flights	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs.	MSQOL-54 - Health Limit Climbing Several Stairs
	MSQL1-Health Limit Moderate Activities		C113991	MSQL1-Health Limit Moderate Activities	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.	MSQOL-54 - Health Limit Moderate Activities
	MSQL1-Health Limit Vigorous Activities		C113990	MSQL1-Health Limit Vigorous Activities	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.	MSQOL-54 - Health Limit Vigorous Activities
	MSQL1-Health Limit Walk More Than Mile		C113996	MSQL1-Health Limit Walk More Than Mile	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile.	MSQOL-54 - Health Limit Walking More than A Mile
	MSQL1-Health Limit Walk One Block		C113998	MSQL1-Health Limit Walk One Block	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block.	MSQOL-54 - Health Limit Walking One Block
	MSQL1-Health Limit Walk Several Blocks		C113997	MSQL1-Health Limit Walk Several Blocks	Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks.	MSQOL-54 - Health Limit Walking Several Blocks
	MSQL1-Health Now Compared to 1 Year Ago		C113989	MSQL1-Health Now Compared to 1 Year Ago	Multiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now?	MSQOL-54 - Health Now Compared to One Year Ago
	MSQL1-How Much Bodily Pain Have You Had		C114008	MSQL1-How Much Bodily Pain Have You Had	Multiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks?	MSQOL-54 - Bodily Pain
	MSQL1-I Am as Healthy as Anybody I Know		C114022	MSQL1-I Am as Healthy as Anybody I Know	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.	MSQOL-54 - As Healthy as Anybody
	MSQL1-I Expect My Health to Get Worse		C114023	MSQL1-I Expect My Health to Get Worse	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.	MSQOL-54 - Expect Health to Get Worse
	MSQL1-Inadequate Lubrication		C114035	MSQL1-Inadequate Lubrication	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication.	MSQOL-54 - Inadequate Lubrication
	MSQL1-Lack of Sexual Interest		C114033	MSQL1-Lack of Sexual Interest	Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest.	MSQOL-54 - Lack of Sexual Interest
	MSQL1-My Health Is Excellent		C114024	MSQL1-My Health Is Excellent	Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent.	MSQOL-54 - Health is Excellent
	MSQL1-Others Notice Your Memory Trouble		C114032	MSQL1-Others Notice Your Memory Trouble	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration?	MSQOL-54 - Others Notice Your Problems With Memory or Concentration
	MSQL1-Pain Interfere Enjoyment of Life		C114040	MSQL1-Pain Interfere Enjoyment of Life	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life?	MSQOL-54 - Pain Interfere Enjoyment of Life
	MSQL1-Phys Health: Accomplish Less		C114001	MSQL1-Phys Health: Accomplish Less	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.	MSQOL-54 - Physical Health Accomplish Less
	MSQL1-Phys Health: Cut Work Time		C114000	MSQL1-Phys Health: Cut Work Time	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities.	MSQOL-54 - Physical Health Cut Down Time on Work
	MSQL1-Phys Health: Difficulty Performing		C114003	MSQL1-Phys Health: Difficulty Performing	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.	MSQOL-54 - Physical Health Difficulty Perform Work
	MSQL1-Phys Health: Limit Kind of Work		C114002	MSQL1-Phys Health: Limit Kind of Work	Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.	MSQOL-54 - Physical Health Limited in the Kind of Work
	MSQL1-Rate Your Own Quality-of-Life		C114041	MSQL1-Rate Your Own Quality-of-Life	Multiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life?	MSQOL-54 - Rate Your Own Quality of Life
	MSQL1-Satisfied With Sexual Function		C114038	MSQL1-Satisfied With Sexual Function	Multiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks?	MSQOL-54 - Satisfied With Sexual Function
	MSQL1-Trouble Keep Attention for Long		C114030	MSQL1-Trouble Keep Attention for Long	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long?	MSQOL-54 - Trouble Keep Attention for Long
	MSQL1-Was Health a Worry in Your Life		C114027	MSQL1-Was Health a Worry in Your Life	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life?	MSQOL-54 - Health a Worry in Life
	MSQL1-Weighed Down by Health Problems		C114028	MSQL1-Weighed Down by Health Problems	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems?	MSQOL-54 - Feel Weighed Down by Health Problem
	MSQL1-Were Frustrated About Your Health		C114026	MSQL1-Were Frustrated About Your Health	Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health?	MSQOL-54 - Frustrated With Health
	MSQL1-Would You Say Your Health Is		C113988	MSQL1-Would You Say Your Health Is	Multiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is:	MSQOL-54 - Would You Say Your Health Is
Back to top
CL.C112453.VFQ25-Interviewer Administered TESTCD	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code (VFQ25-Interviewer Administered TESTCD)	text Extensible: No	C112453	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test code.	CDISC Questionnaire VFQ25-Interviewer Administered Format Test Code Terminology
	VFQ101		C112729	VFQ1-Your Overall Health Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is:	VFQ25-Interviewer Administered Format - Overall Health
	VFQ102		C112730	VFQ1-Eyesight Using Both Eyes Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?	VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes
	VFQ103		C112731	VFQ1-How Often You Worry About Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?	VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight
	VFQ104		C112732	VFQ1-How Much Pain in and Around Eyes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:	VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes
	VFQ105		C112733	VFQ1-Difficulty Reading Newspapers	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:	VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers
	VFQ106		C112734	VFQ1-Difficulty Doing Work/Hobbies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:	VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies
	VFQ107		C112735	VFQ1-Difficulty Finding on Crowded Shelf	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?	VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf
	VFQ108		C112736	VFQ1-Difficulty Reading Street Signs	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?	VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs
	VFQ109		C112737	VFQ1-Difficulty Going Down Step at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?	VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night
	VFQ110		C112738	VFQ1-Difficulty Noticing Objects to Side	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?	VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking
	VFQ111		C112739	VFQ1-Difficulty Seeing How People React	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?	VFQ25-Interviewer Administered Format - Difficulty Seeing How People React
	VFQ112		C112740	VFQ1-Difficulty Picking Out Own Clothes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?	VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes
	VFQ113		C112741	VFQ1-Difficulty Visiting With People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?	VFQ25-Interviewer Administered Format - Difficulty Visiting People
	VFQ114		C112742	VFQ1-Difficulty Going Out to See Movies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?	VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies
	VFQ115		C112743	VFQ1-Are You Currently Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?	VFQ25-Interviewer Administered Format - Are You Currently Driving
	VFQ115A		C112744	VFQ1-Never Driven or Given Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving?	VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving
	VFQ115B		C112745	VFQ1-Main Reason You Gave Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?	VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving
	VFQ115C		C112746	VFQ1-Difficulty Driving During Daytime	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:	VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime
	VFQ116		C112747	VFQ1-Difficulty Driving at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:	VFQ25-Interviewer Administered Format - Difficulty Driving at Night
	VFQ116A		C112748	VFQ1-Driving in Difficult Conditions	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:	VFQ25-Interviewer Administered Format - Driving in Difficult Condition
	VFQ117		C112749	VFQ1-Accomplish Less Than You Would Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?	VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision
	VFQ118		C112750	VFQ1-Limited in How Long You Can Work	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?	VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision
	VFQ119		C112751	VFQ1-Eye Pain Keep From Doing What Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:	VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like
	VFQ120		C112752	VFQ1-I Stay Home Most of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.	VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight
	VFQ121		C112753	VFQ1-I Feel Frustrated a Lot of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.	VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight
	VFQ122		C112754	VFQ1-Much Less Control Over What I Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.	VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight
	VFQ123		C112755	VFQ1-Rely Too Much on What Others Tell	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.	VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight
	VFQ124		C112756	VFQ1-I Need a Lot of Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.	VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight
	VFQ125		C112757	VFQ1-Worry I'll Do Embarrassing Things	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.	VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
	VFQ1A01		C112758	VFQ1-Rate Your Overall Health	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?	VFQ25-Interviewer Administered Format - Rate Your Overall Health
	VFQ1A02		C112759	VFQ1-Rate Your Eyesight Now	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?	VFQ25-Interviewer Administered Format - Rate Your Eyesight Now
	VFQ1A03		C112760	VFQ1-Difficulty Reading Small Print	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:	VFQ25-Interviewer Administered Format - Difficulty Reading Small Print
	VFQ1A04		C112761	VFQ1-Difficulty Figure Out Bill Accuracy	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?	VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy
	VFQ1A05		C112762	VFQ1-Difficulty Shaving or Styling Hair	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?	VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
	VFQ1A06		C112763	VFQ1-Difficulty Recognizing People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?	VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know
	VFQ1A07		C112764	VFQ1-Difficulty Taking Part in Sports	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?	VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
	VFQ1A08		C112765	VFQ1-Difficulty Seeing Programs on TV	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?	VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV
	VFQ1A09		C112766	VFQ1-Difficulty Entertaining Friends	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?	VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home
	VFQ1A11A		C112767	VFQ1-Do You Have More Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision?	VFQ25-Interviewer Administered Format - Do You Have More Help From Others
	VFQ1A11B		C112768	VFQ1-Limited in Kinds of Things Can Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?	VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do
	VFQ1A12		C112769	VFQ1-Often Irritable Because Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.	VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight
	VFQ1A13		C112770	VFQ1-I Don't Go Out of My Home Alone	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.	VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight
Back to top
CL.C112452.VFQ25-Interviewer Administered TEST	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name (VFQ25-Interviewer Administered TEST)	text Extensible: No	C112452	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test name.	CDISC Questionnaire VFQ25-Interviewer Administered Format Test Name Terminology
	VFQ1-Accomplish Less Than You Would Like		C112749	VFQ1-Accomplish Less Than You Would Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?	VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision
	VFQ1-Are You Currently Driving		C112743	VFQ1-Are You Currently Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?	VFQ25-Interviewer Administered Format - Are You Currently Driving
	VFQ1-Difficulty Doing Work/Hobbies		C112734	VFQ1-Difficulty Doing Work/Hobbies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:	VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies
	VFQ1-Difficulty Driving at Night		C112747	VFQ1-Difficulty Driving at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:	VFQ25-Interviewer Administered Format - Difficulty Driving at Night
	VFQ1-Difficulty Driving During Daytime		C112746	VFQ1-Difficulty Driving During Daytime	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:	VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime
	VFQ1-Difficulty Entertaining Friends		C112766	VFQ1-Difficulty Entertaining Friends	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?	VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home
	VFQ1-Difficulty Figure Out Bill Accuracy		C112761	VFQ1-Difficulty Figure Out Bill Accuracy	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?	VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy
	VFQ1-Difficulty Finding on Crowded Shelf		C112735	VFQ1-Difficulty Finding on Crowded Shelf	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?	VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf
	VFQ1-Difficulty Going Down Step at Night		C112737	VFQ1-Difficulty Going Down Step at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?	VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night
	VFQ1-Difficulty Going Out to See Movies		C112742	VFQ1-Difficulty Going Out to See Movies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?	VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies
	VFQ1-Difficulty Noticing Objects to Side		C112738	VFQ1-Difficulty Noticing Objects to Side	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?	VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking
	VFQ1-Difficulty Picking Out Own Clothes		C112740	VFQ1-Difficulty Picking Out Own Clothes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?	VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes
	VFQ1-Difficulty Reading Newspapers		C112733	VFQ1-Difficulty Reading Newspapers	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:	VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers
	VFQ1-Difficulty Reading Small Print		C112760	VFQ1-Difficulty Reading Small Print	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:	VFQ25-Interviewer Administered Format - Difficulty Reading Small Print
	VFQ1-Difficulty Reading Street Signs		C112736	VFQ1-Difficulty Reading Street Signs	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?	VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs
	VFQ1-Difficulty Recognizing People		C112763	VFQ1-Difficulty Recognizing People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?	VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know
	VFQ1-Difficulty Seeing How People React		C112739	VFQ1-Difficulty Seeing How People React	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?	VFQ25-Interviewer Administered Format - Difficulty Seeing How People React
	VFQ1-Difficulty Seeing Programs on TV		C112765	VFQ1-Difficulty Seeing Programs on TV	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?	VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV
	VFQ1-Difficulty Shaving or Styling Hair		C112762	VFQ1-Difficulty Shaving or Styling Hair	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?	VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
	VFQ1-Difficulty Taking Part in Sports		C112764	VFQ1-Difficulty Taking Part in Sports	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?	VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
	VFQ1-Difficulty Visiting With People		C112741	VFQ1-Difficulty Visiting With People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?	VFQ25-Interviewer Administered Format - Difficulty Visiting People
	VFQ1-Do You Have More Help From Others		C112767	VFQ1-Do You Have More Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision?	VFQ25-Interviewer Administered Format - Do You Have More Help From Others
	VFQ1-Driving in Difficult Conditions		C112748	VFQ1-Driving in Difficult Conditions	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:	VFQ25-Interviewer Administered Format - Driving in Difficult Condition
	VFQ1-Eye Pain Keep From Doing What Like		C112751	VFQ1-Eye Pain Keep From Doing What Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:	VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like
	VFQ1-Eyesight Using Both Eyes Is		C112730	VFQ1-Eyesight Using Both Eyes Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?	VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes
	VFQ1-How Much Pain in and Around Eyes		C112732	VFQ1-How Much Pain in and Around Eyes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:	VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes
	VFQ1-How Often You Worry About Eyesight		C112731	VFQ1-How Often You Worry About Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?	VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight
	VFQ1-I Don't Go Out of My Home Alone		C112770	VFQ1-I Don't Go Out of My Home Alone	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.	VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight
	VFQ1-I Feel Frustrated a Lot of the Time		C112753	VFQ1-I Feel Frustrated a Lot of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.	VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight
	VFQ1-I Need a Lot of Help From Others		C112756	VFQ1-I Need a Lot of Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.	VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight
	VFQ1-I Stay Home Most of the Time		C112752	VFQ1-I Stay Home Most of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.	VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight
	VFQ1-Limited in How Long You Can Work		C112750	VFQ1-Limited in How Long You Can Work	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?	VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision
	VFQ1-Limited in Kinds of Things Can Do		C112768	VFQ1-Limited in Kinds of Things Can Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?	VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do
	VFQ1-Main Reason You Gave Up Driving		C112745	VFQ1-Main Reason You Gave Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?	VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving
	VFQ1-Much Less Control Over What I Do		C112754	VFQ1-Much Less Control Over What I Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.	VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight
	VFQ1-Never Driven or Given Up Driving		C112744	VFQ1-Never Driven or Given Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving?	VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving
	VFQ1-Often Irritable Because Eyesight		C112769	VFQ1-Often Irritable Because Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.	VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight
	VFQ1-Rate Your Eyesight Now		C112759	VFQ1-Rate Your Eyesight Now	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?	VFQ25-Interviewer Administered Format - Rate Your Eyesight Now
	VFQ1-Rate Your Overall Health		C112758	VFQ1-Rate Your Overall Health	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?	VFQ25-Interviewer Administered Format - Rate Your Overall Health
	VFQ1-Rely Too Much on What Others Tell		C112755	VFQ1-Rely Too Much on What Others Tell	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.	VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight
	VFQ1-Worry I'll Do Embarrassing Things		C112757	VFQ1-Worry I'll Do Embarrassing Things	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.	VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
	VFQ1-Your Overall Health Is		C112729	VFQ1-Your Overall Health Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is:	VFQ25-Interviewer Administered Format - Overall Health
Back to top
CL.C112455.VFQ25-Self Administered TESTCD	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code (VFQ25-Self Administered TESTCD)	text Extensible: No	C112455	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test code.	CDISC Questionnaire VFQ25-Self Administered Format Test Code Terminology
	VFQ201		C112771	VFQ2-Your Overall Health Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is:	VFQ25-Self Administered Format - Overall Health
	VFQ202		C112772	VFQ2-Eyesight Using Both Eyes Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?	VFQ25-Self Administered Format - Eyesight Using Both Eyes
	VFQ203		C112773	VFQ2-How Often You Worry About Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?	VFQ25-Self Administered Format - Time Spent Worry About Eyesight
	VFQ204		C112774	VFQ2-How Much Pain in and Around Eyes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:	VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes
	VFQ205		C112775	VFQ2-Difficulty Reading Newspapers	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:	VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers
	VFQ206		C112776	VFQ2-Difficulty Doing Work/Hobbies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:	VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies
	VFQ207		C112777	VFQ2-Difficulty Finding on Crowded Shelf	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?	VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf
	VFQ208		C112778	VFQ2-Difficulty Reading Street Signs	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?	VFQ25-Self Administered Format - Difficulty Reading Street Signs
	VFQ209		C112779	VFQ2-Difficulty Going Down Step at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?	VFQ25-Self Administered Format - Difficulty Going Down Steps at Night
	VFQ210		C112780	VFQ2-Difficulty Noticing Objects to Side	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?	VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking
	VFQ211		C112781	VFQ2-Difficulty Seeing How People React	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?	VFQ25-Self Administered Format - Difficulty Seeing How People React
	VFQ212		C112782	VFQ2-Difficulty Picking Out Own Clothes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?	VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes
	VFQ213		C112783	VFQ2-Difficulty Visiting With People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?	VFQ25-Self Administered Format - Difficulty Visiting People
	VFQ214		C112784	VFQ2-Difficulty Going Out to See Movies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?	VFQ25-Self Administered Format - Difficulty Going Out to See Movies
	VFQ215		C112785	VFQ2-Are You Currently Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?	VFQ25-Self Administered Format - Are You Currently Driving
	VFQ215A		C112786	VFQ2-Never Driven or Given Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving?	VFQ25-Self Administered Format - Never Driven or Given Up Driving
	VFQ215B		C112787	VFQ2-Main Reason You Gave Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?	VFQ25-Self Administered Format - Main Reason You Gave Up Driving
	VFQ215C		C112788	VFQ2-Difficulty Driving During Daytime	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:	VFQ25-Self Administered Format - Difficulty Driving During Daytime
	VFQ216		C112789	VFQ2-Difficulty Driving at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:	VFQ25-Self Administered Format - Difficulty Driving at Night
	VFQ216A		C112790	VFQ2-Driving in Difficult Conditions	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:	VFQ25-Self Administered Format - Driving in Difficult Condition
	VFQ217		C112791	VFQ2-Accomplish Less Than You Would Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?	VFQ25-Self Administered Format - Accomplish Less Because of Vision
	VFQ218		C112792	VFQ2-Limited in How Long You Can Work	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?	VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision
	VFQ219		C112793	VFQ2-Eye Pain Keep From Doing What Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:	VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like
	VFQ220		C112794	VFQ2-I Stay Home Most of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.	VFQ25-Self Administered Format - Stay Home Because of Eyesight
	VFQ221		C112795	VFQ2-I Feel Frustrated a Lot of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.	VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight
	VFQ222		C112796	VFQ2-Much Less Control Over What I Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.	VFQ25-Self Administered Format - Have Less Control Because of Eyesight
	VFQ223		C112797	VFQ2-Rely Too Much on What Others Tell	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.	VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight
	VFQ224		C112798	VFQ2-I Need a Lot of Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.	VFQ25-Self Administered Format - Need Help From Others Because of Eyesight
	VFQ225		C112799	VFQ2-Worry I'll Do Embarrassing Things	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.	VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
	VFQ2A01		C112800	VFQ2-Rate Your Overall Health	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?	VFQ25-Self Administered Format - Rate Your Overall Health
	VFQ2A02		C112801	VFQ2-Rate Your Eyesight Now	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?	VFQ25-Self Administered Format - Rate Your Eyesight Now
	VFQ2A03		C112802	VFQ2-Difficulty Reading Small Print	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:	VFQ25-Self Administered Format - Difficulty Reading Small Print
	VFQ2A04		C112803	VFQ2-Difficulty Figure Out Bill Accuracy	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?	VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy
	VFQ2A05		C112804	VFQ2-Difficulty Shaving or Styling Hair	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?	VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
	VFQ2A06		C112805	VFQ2-Difficulty Recognizing People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?	VFQ25-Self Administered Format - Difficulty Recognizing People You Know
	VFQ2A07		C112806	VFQ2-Difficulty Taking Part in Sports	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?	VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
	VFQ2A08		C112807	VFQ2-Difficulty Seeing Programs on TV	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?	VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV
	VFQ2A09		C112808	VFQ2-Difficulty Entertaining Friends	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?	VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home
	VFQ2A11A		C112809	VFQ2-Do You Have More Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision?	VFQ25-Self Administered Format - Do You Have More Help From Others
	VFQ2A11B		C112810	VFQ2-Limited in Kinds of Things Can Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?	VFQ25-Self Administered Format - Limited in Kinds of Things Can Do
	VFQ2A12		C112811	VFQ2-Often Irritable Because Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.	VFQ25-Self Administered Format - Often Irritable Because of Eyesight
	VFQ2A13		C112812	VFQ2-I Don't Go Out of My Home Alone	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.	VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight
Back to top
CL.C112454.VFQ25-Self Administered TEST	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name (VFQ25-Self Administered TEST)	text Extensible: No	C112454	QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test name.	CDISC Questionnaire VFQ25-Self Administered Format Test Name Terminology
	VFQ2-Accomplish Less Than You Would Like		C112791	VFQ2-Accomplish Less Than You Would Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?	VFQ25-Self Administered Format - Accomplish Less Because of Vision
	VFQ2-Are You Currently Driving		C112785	VFQ2-Are You Currently Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?	VFQ25-Self Administered Format - Are You Currently Driving
	VFQ2-Difficulty Doing Work/Hobbies		C112776	VFQ2-Difficulty Doing Work/Hobbies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:	VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies
	VFQ2-Difficulty Driving at Night		C112789	VFQ2-Difficulty Driving at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:	VFQ25-Self Administered Format - Difficulty Driving at Night
	VFQ2-Difficulty Driving During Daytime		C112788	VFQ2-Difficulty Driving During Daytime	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:	VFQ25-Self Administered Format - Difficulty Driving During Daytime
	VFQ2-Difficulty Entertaining Friends		C112808	VFQ2-Difficulty Entertaining Friends	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?	VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home
	VFQ2-Difficulty Figure Out Bill Accuracy		C112803	VFQ2-Difficulty Figure Out Bill Accuracy	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?	VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy
	VFQ2-Difficulty Finding on Crowded Shelf		C112777	VFQ2-Difficulty Finding on Crowded Shelf	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?	VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf
	VFQ2-Difficulty Going Down Step at Night		C112779	VFQ2-Difficulty Going Down Step at Night	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?	VFQ25-Self Administered Format - Difficulty Going Down Steps at Night
	VFQ2-Difficulty Going Out to See Movies		C112784	VFQ2-Difficulty Going Out to See Movies	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?	VFQ25-Self Administered Format - Difficulty Going Out to See Movies
	VFQ2-Difficulty Noticing Objects to Side		C112780	VFQ2-Difficulty Noticing Objects to Side	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?	VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking
	VFQ2-Difficulty Picking Out Own Clothes		C112782	VFQ2-Difficulty Picking Out Own Clothes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?	VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes
	VFQ2-Difficulty Reading Newspapers		C112775	VFQ2-Difficulty Reading Newspapers	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:	VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers
	VFQ2-Difficulty Reading Small Print		C112802	VFQ2-Difficulty Reading Small Print	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:	VFQ25-Self Administered Format - Difficulty Reading Small Print
	VFQ2-Difficulty Reading Street Signs		C112778	VFQ2-Difficulty Reading Street Signs	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?	VFQ25-Self Administered Format - Difficulty Reading Street Signs
	VFQ2-Difficulty Recognizing People		C112805	VFQ2-Difficulty Recognizing People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?	VFQ25-Self Administered Format - Difficulty Recognizing People You Know
	VFQ2-Difficulty Seeing How People React		C112781	VFQ2-Difficulty Seeing How People React	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?	VFQ25-Self Administered Format - Difficulty Seeing How People React
	VFQ2-Difficulty Seeing Programs on TV		C112807	VFQ2-Difficulty Seeing Programs on TV	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?	VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV
	VFQ2-Difficulty Shaving or Styling Hair		C112804	VFQ2-Difficulty Shaving or Styling Hair	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?	VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
	VFQ2-Difficulty Taking Part in Sports		C112806	VFQ2-Difficulty Taking Part in Sports	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?	VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
	VFQ2-Difficulty Visiting With People		C112783	VFQ2-Difficulty Visiting With People	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?	VFQ25-Self Administered Format - Difficulty Visiting People
	VFQ2-Do You Have More Help From Others		C112809	VFQ2-Do You Have More Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision?	VFQ25-Self Administered Format - Do You Have More Help From Others
	VFQ2-Driving in Difficult Conditions		C112790	VFQ2-Driving in Difficult Conditions	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:	VFQ25-Self Administered Format - Driving in Difficult Condition
	VFQ2-Eye Pain Keep From Doing What Like		C112793	VFQ2-Eye Pain Keep From Doing What Like	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:	VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like
	VFQ2-Eyesight Using Both Eyes Is		C112772	VFQ2-Eyesight Using Both Eyes Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?	VFQ25-Self Administered Format - Eyesight Using Both Eyes
	VFQ2-How Much Pain in and Around Eyes		C112774	VFQ2-How Much Pain in and Around Eyes	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:	VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes
	VFQ2-How Often You Worry About Eyesight		C112773	VFQ2-How Often You Worry About Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?	VFQ25-Self Administered Format - Time Spent Worry About Eyesight
	VFQ2-I Don't Go Out of My Home Alone		C112812	VFQ2-I Don't Go Out of My Home Alone	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.	VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight
	VFQ2-I Feel Frustrated a Lot of the Time		C112795	VFQ2-I Feel Frustrated a Lot of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.	VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight
	VFQ2-I Need a Lot of Help From Others		C112798	VFQ2-I Need a Lot of Help From Others	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.	VFQ25-Self Administered Format - Need Help From Others Because of Eyesight
	VFQ2-I Stay Home Most of the Time		C112794	VFQ2-I Stay Home Most of the Time	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.	VFQ25-Self Administered Format - Stay Home Because of Eyesight
	VFQ2-Limited in How Long You Can Work		C112792	VFQ2-Limited in How Long You Can Work	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?	VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision
	VFQ2-Limited in Kinds of Things Can Do		C112810	VFQ2-Limited in Kinds of Things Can Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?	VFQ25-Self Administered Format - Limited in Kinds of Things Can Do
	VFQ2-Main Reason You Gave Up Driving		C112787	VFQ2-Main Reason You Gave Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?	VFQ25-Self Administered Format - Main Reason You Gave Up Driving
	VFQ2-Much Less Control Over What I Do		C112796	VFQ2-Much Less Control Over What I Do	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.	VFQ25-Self Administered Format - Have Less Control Because of Eyesight
	VFQ2-Never Driven or Given Up Driving		C112786	VFQ2-Never Driven or Given Up Driving	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving?	VFQ25-Self Administered Format - Never Driven or Given Up Driving
	VFQ2-Often Irritable Because Eyesight		C112811	VFQ2-Often Irritable Because Eyesight	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.	VFQ25-Self Administered Format - Often Irritable Because of Eyesight
	VFQ2-Rate Your Eyesight Now		C112801	VFQ2-Rate Your Eyesight Now	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?	VFQ25-Self Administered Format - Rate Your Eyesight Now
	VFQ2-Rate Your Overall Health		C112800	VFQ2-Rate Your Overall Health	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?	VFQ25-Self Administered Format - Rate Your Overall Health
	VFQ2-Rely Too Much on What Others Tell		C112797	VFQ2-Rely Too Much on What Others Tell	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.	VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight
	VFQ2-Worry I'll Do Embarrassing Things		C112799	VFQ2-Worry I'll Do Embarrassing Things	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.	VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
	VFQ2-Your Overall Health Is		C112771	VFQ2-Your Overall Health Is	National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is:	VFQ25-Self Administered Format - Overall Health
Back to top
CL.C103473.NPS TESTCD	QS-Neuropathic Pain Scale Questionnaire Test Code (NPS TESTCD)	text Extensible: No	C103473	QS-Neuropathic Pain Scale Questionnaire Test Code	Neuropathic Pain Scale test code.	CDISC Questionnaire NPS Test Code Terminology
	NPS0101		C103638	NPS01-Tell Us How Intense Your Pain Is	Neuropathic Pain Scale - Please use the scale below to tell us how intense your pain is.	NPS - Tell Us How Intense Your Pain Is
	NPS0102		C103639	NPS01-Tell Us How Sharp Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.'	NPS - Tell Us How Sharp Your Pain Feels
	NPS0103		C103640	NPS01-Tell Us How Hot Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.'	NPS - Tell Us How Hot Your Pain Feels
	NPS0104		C103641	NPS01-Tell Us How Dull Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.'	NPS - Tell Us How Dull Your Pain Feels
	NPS0105		C103642	NPS01-Tell Us How Cold Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.'	NPS - Tell Us How Cold Your Pain Feels
	NPS0106		C103643	NPS01-Sensitiv Skin to Light Touch/Cloth	Neuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.'	NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing
	NPS0107		C103644	NPS01-Tell Us How Itchy Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.'	NPS - Tell Us How Itchy Your Pain Feels
	NPS0108		C103645	NPS01-Describe Time Quality Of Your Pain	Neuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer.	NPS - Describe the Time Quality Of Your Pain
	NPS0108A		C103646	NPS01-Describe the Background Pain	Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain.	NPS - Describe the Background Pain
	NPS0108B		C103647	NPS01-Describe the Flare-up Pain	Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain.	NPS - Describe the Flare-up Pain
	NPS0108C		C103648	NPS01-Describe Single Type Pain All Time	Neuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain.	NPS - Describe the Single Type of Pain All Time
	NPS0108D		C103649	NPS01-Describe the Occasional Pain	Neuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain.	NPS - Describe the Occasional Pain
	NPS0109		C103650	NPS01-Tell How Unpleasant Your Pain Feel	Neuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels.	NPS - Tell Us Overall How Unpleasant Your Pain is to You
	NPS0110A		C103651	NPS01-How Intense is Your Deep Pain	Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain?	NPS - How Intense is Your Deep Pain
	NPS0110B		C103652	NPS01-How Intense is Your Surface Pain	Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain?	NPS - How Intense is Your Surface Pain
Back to top
CL.C103472.NPS TEST	QS-Neuropathic Pain Scale Questionnaire Test Name (NPS TEST)	text Extensible: No	C103472	QS-Neuropathic Pain Scale Questionnaire Test Name	Neuropathic Pain Scale test name.	CDISC Questionnaire NPS Test Name Terminology
	NPS01-Describe Single Type Pain All Time		C103648	NPS01-Describe Single Type Pain All Time	Neuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain.	NPS - Describe the Single Type of Pain All Time
	NPS01-Describe the Background Pain		C103646	NPS01-Describe the Background Pain	Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain.	NPS - Describe the Background Pain
	NPS01-Describe the Flare-up Pain		C103647	NPS01-Describe the Flare-up Pain	Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain.	NPS - Describe the Flare-up Pain
	NPS01-Describe the Occasional Pain		C103649	NPS01-Describe the Occasional Pain	Neuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain.	NPS - Describe the Occasional Pain
	NPS01-Describe Time Quality Of Your Pain		C103645	NPS01-Describe Time Quality Of Your Pain	Neuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer.	NPS - Describe the Time Quality Of Your Pain
	NPS01-How Intense is Your Deep Pain		C103651	NPS01-How Intense is Your Deep Pain	Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain?	NPS - How Intense is Your Deep Pain
	NPS01-How Intense is Your Surface Pain		C103652	NPS01-How Intense is Your Surface Pain	Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain?	NPS - How Intense is Your Surface Pain
	NPS01-Sensitiv Skin to Light Touch/Cloth		C103643	NPS01-Sensitiv Skin to Light Touch/Cloth	Neuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.'	NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing
	NPS01-Tell How Unpleasant Your Pain Feel		C103650	NPS01-Tell How Unpleasant Your Pain Feel	Neuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels.	NPS - Tell Us Overall How Unpleasant Your Pain is to You
	NPS01-Tell Us How Cold Your Pain Feels		C103642	NPS01-Tell Us How Cold Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.'	NPS - Tell Us How Cold Your Pain Feels
	NPS01-Tell Us How Dull Your Pain Feels		C103641	NPS01-Tell Us How Dull Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.'	NPS - Tell Us How Dull Your Pain Feels
	NPS01-Tell Us How Hot Your Pain Feels		C103640	NPS01-Tell Us How Hot Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.'	NPS - Tell Us How Hot Your Pain Feels
	NPS01-Tell Us How Intense Your Pain Is		C103638	NPS01-Tell Us How Intense Your Pain Is	Neuropathic Pain Scale - Please use the scale below to tell us how intense your pain is.	NPS - Tell Us How Intense Your Pain Is
	NPS01-Tell Us How Itchy Your Pain Feels		C103644	NPS01-Tell Us How Itchy Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.'	NPS - Tell Us How Itchy Your Pain Feels
	NPS01-Tell Us How Sharp Your Pain Feels		C103639	NPS01-Tell Us How Sharp Your Pain Feels	Neuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.'	NPS - Tell Us How Sharp Your Pain Feels
Back to top
CL.C100144.NPI TESTCD	QS-Neuropsychiatric Inventory Test Code (NPI TESTCD)	text Extensible: No	C100144	QS-Neuropsychiatric Inventory Test Code	The Neuropsychiatric Inventory test code.	CDISC Questionnaire NPI Test Code Terminology
	NPI1A		C100622	NPI1-Beliefs Untrue	Neuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her.	NPI - Have Beliefs That You Know are Not True
	NPI1A01		C100623	NPI1-In Danger	Neuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her?	NPI - He/She is in Danger
	NPI1A02		C100624	NPI1-Others Are Stealing	Neuropsychiatric Inventory - Does the patient believe that others are stealing from him/her?	NPI - Others are Stealing From Him/Her
	NPI1A03		C100625	NPI1-Spouse Having Affair	Neuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair?	NPI - His/Her Spouse is Having an Affair
	NPI1A04		C100626	NPI1-Unwelcome Guests in House	Neuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house?	NPI - Unwelcome Guests are Living in His/Her House
	NPI1A05		C100627	NPI1-People Not Who They Claim	Neuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be?	NPI - His/Her Spouse or Others Are Not Who They Claim To Be
	NPI1A06		C100628	NPI1-House Not Their Home	Neuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home?	NPI - His/Her House Is Not His/Her Home
	NPI1A07		C100629	NPI1-Family Plans to Abandon	Neuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her?	NPI - Family Members Plan to Abandon Him/Her
	NPI1A08		C100630	NPI1-TV/Magazine Figures Present	Neuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?)	NPI - Television or Magazine Figures Are Actually Present In the Home
	NPI1A09		C100631	NPI1-Other Unusual Beliefs	Neuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about?	NPI - Any Other Unusual Things That I Haven't Asked About
	NPI1A10		C103602	NPI1-Delusions Frequency	Neuropsychiatric Inventory - Frequency of the delusions.	NPI - Delusions Frequency
	NPI1A11		C103603	NPI1-Delusions Severity	Neuropsychiatric Inventory - Severity of the delusions.	NPI - Delusions Severity
	NPI1A12		C103604	NPI1-Delusions Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Delusions Distress
	NPI1AFS		C112469	NPI1-Delusions FxS Score	Neuropsychiatric Inventory - Delusions: (frequency score x severity score).	NPI - Delusions FxS Score
	NPI1B		C100632	NPI1-False Visions or Voices	Neuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions.	NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices
	NPI1B01		C100633	NPI1-Hearing Voices	Neuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices?	NPI - Describe Hearing Voices or Act as if He/She Hears Voices
	NPI1B02		C100634	NPI1-Talk to People Not There	Neuropsychiatric Inventory - Does the patient talk to people who are not there?	NPI - Talk to People Who Are Not There
	NPI1B03		C100635	NPI1-See Things Not Seen by Others	Neuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)?	NPI - Describe Seeing Things Not Seen by Others
	NPI1B04		C100636	NPI1-Smell Odors Others Do Not Smell	Neuropsychiatric Inventory - Does the patient report smelling odors not smelled by others?	NPI - Report Smelling Odors Not Smelled by Others
	NPI1B05		C100637	NPI1-Feel Things on Skin	Neuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her?	NPI - Describe Feeling Things on His/Her Skin
	NPI1B06		C100638	NPI1-Taste without Known Cause	Neuropsychiatric Inventory - Does the patient describe tastes that are without any known cause?	NPI - Describe Tastes That Are Without Any Known Cause
	NPI1B07		C100639	NPI1-Other Unusual Sensory Experience	Neuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences?	NPI - Describe Any Other Unusual Sensory Experiences
	NPI1B08		C103605	NPI1-Hallucinations Frequency	Neuropsychiatric Inventory - Frequency of the hallucinations.	NPI - Hallucinations Frequency
	NPI1B09		C103606	NPI1-Hallucinations Severity	Neuropsychiatric Inventory - Severity of the hallucinations.	NPI - Hallucinations Severity
	NPI1B10		C103607	NPI1-Hallucinations Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Hallucinations Distress
	NPI1BFS		C112470	NPI1-Hallucinations FxS Score	Neuropsychiatric Inventory - Hallucinations: (frequency score x severity score).	NPI - Hallucinations FxS Score
	NPI1C		C100640	NPI1-Refuse to Cooperate	Neuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle?	NPI - Periods When He/She Refuses to Cooperate
	NPI1C01		C100641	NPI1-Get Upset with Caregiver	Neuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes?	NPI - Get Upset with Those Trying to Care for Him/Her
	NPI1C02		C100642	NPI1-Stubborn	Neuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way?	NPI - Stubborn
	NPI1C03		C100643	NPI1-Uncooperative	Neuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others?	NPI - Uncooperative
	NPI1C04		C100644	NPI1-Other Behaviors Hard to Handle	Neuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle?	NPI - Any Other Behaviors That Make Him/Her Hard to Handle
	NPI1C05		C100645	NPI1-Shout or Curse Angrily	Neuropsychiatric Inventory - Does the patient shout or curse angrily?	NPI - Shout or Curse Angrily
	NPI1C06		C100646	NPI1-Slam, Kick or Throw Things	Neuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things?	NPI - Slam doors, Kick Furniture, Throw Things
	NPI1C07		C100647	NPI1-Hurt or Hit Others	Neuropsychiatric Inventory - Does the patient attempt to hurt or hit others?	NPI - Attempt to Hurt or Hit Others
	NPI1C08		C100648	NPI1-Other Aggressive Behavior	Neuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors?	NPI - Any Other Aggressive or Agitated Behaviors
	NPI1C09		C103608	NPI1-Agitation/Aggression Frequency	Neuropsychiatric Inventory - Frequency of the agitation/aggression.	NPI - Agitation/Aggression Frequency
	NPI1C10		C103609	NPI1-Agitation/Aggression Severity	Neuropsychiatric Inventory - Severity of the agitation/aggression.	NPI - Agitation/Aggression Severity
	NPI1C11		C103610	NPI1-Agitation/Aggression Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Agitation/Aggression Distress
	NPI1CFS		C112471	NPI1-Agitation/Aggression FxS Score	Neuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score).	NPI - Agitation/Aggression FxS Score
	NPI1D		C100649	NPI1-Sad or Depressed	Neuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed?	NPI - Seem Sad or Depressed
	NPI1D01		C100650	NPI1-Tearfulness or Sobbing	Neuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness?	NPI - Periods of Tearfulness or Sobbing
	NPI1D02		C100651	NPI1-Say or Act in Low Spirits	Neuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits?	NPI - Say, or Act as if He/She is Sad or in Low Spirits
	NPI1D03		C100652	NPI1-Feel Like a Failure	Neuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure?	NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure
	NPI1D04		C100653	NPI1-Bad Person	Neuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished?	NPI - Say That He/She is a Bad Person
	NPI1D05		C100654	NPI1-Discouraged	Neuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future?	NPI - Seem Very Discouraged
	NPI1D06		C100655	NPI1-Burden to Family	Neuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her?	NPI - Say He/She is a Burden to the Family
	NPI1D07		C100656	NPI1-Wish for Death	Neuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself?	NPI - Express a Wish for Death
	NPI1D08		C100657	NPI1-Other Signs of Depression	Neuropsychiatric Inventory - Does the patient show any other signs of depression or sadness?	NPI - Show Any Other Signs of Depression or Sadness
	NPI1D09		C103611	NPI1-Depression/Dysphoria Frequency	Neuropsychiatric Inventory - Frequency of the depression/dysphoria.	NPI - Depression/Dysphoria Frequency
	NPI1D10		C103612	NPI1-Depression/Dysphoria Severity	Neuropsychiatric Inventory - Severity of the depression/dysphoria.	NPI - Depression/Dysphoria Severity
	NPI1D11		C103613	NPI1-Depression/Dysphoria Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Depression/Dysphoria Distress
	NPI1DFS		C112472	NPI1-Depression/Dysphoria FxS Score	Neuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score).	NPI - Depression/Dysphoria FxS Score
	NPI1DIST		C112482	NPI1-NPI Total Distress Score	Neuropsychiatric Inventory - Sub-total of distress score.	NPI - NPI Total Distress Score
	NPI1E		C100658	NPI1-Nervous or Worried	Neuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you?	NPI - Very Nervous, Worried, or Frightened for No Apparent Reason
	NPI1E01		C100659	NPI1-Worried about Planned Event	Neuropsychiatric Inventory - Does the patient say that he/she is worried about planned events?	NPI - Say That He/She is Worried About Planned Events
	NPI1E02		C100660	NPI1-Shaky or Unable to Relax	Neuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense?	NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense
	NPI1E03		C100661	NPI1-Short of Breath, Gasp, Sigh	Neuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness?	NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason
	NPI1E04		C100662	NPI1-Butterflies or Racing Heart	Neuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health).	NPI - Complain of Butterflies, Racing or Pounding Heart
	NPI1E05		C100663	NPI1-Avoid Places or Situations	Neuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds?	NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous
	NPI1E06		C100664	NPI1-Nervous when Separated	Neuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?).	NPI - Become Nervous and Upset When Separated From You
	NPI1E07		C100665	NPI1-Other Signs of Anxiety	Neuropsychiatric Inventory - Does the patient show any other signs of anxiety?	NPI - Show Any Other Signs of Anxiety
	NPI1E08		C103614	NPI1-Anxiety Frequency	Neuropsychiatric Inventory - Frequency of the anxiety.	NPI - Anxiety Frequency
	NPI1E09		C103615	NPI1-Anxiety Severity	Neuropsychiatric Inventory - Severity of the anxiety.	NPI - Anxiety Severity
	NPI1E10		C103616	NPI1-Anxiety Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Anxiety Distress
	NPI1EFS		C112473	NPI1-Anxiety FxS Score	Neuropsychiatric Inventory - Anxiety: (frequency score x severity score).	NPI - Anxiety FxS Score
	NPI1F		C100666	NPI1-Too Cheerful or Happy	Neuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not.	NPI - Seem Too Cheerful or Too Happy for No Reason
	NPI1F01		C100667	NPI1-Feel Good or Too Happy	Neuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self?	NPI - Appear to Feel Good or to Be Too Happy
	NPI1F02		C100668	NPI1-Humor Others Do Not Find Funny	Neuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny?	NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny
	NPI1F03		C100669	NPI1-Childish Sense of Humor	Neuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)?	NPI - Seem to Have a Childish Sense of Humor
	NPI1F04		C100670	NPI1-Jokes Others Do Not Find Funny	Neuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her?	NPI - Tell Jokes or Make Remarks That are Not Funny to Others
	NPI1F05		C100671	NPI1-Childish Pranks	Neuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it?	NPI - Play Childish Pranks
	NPI1F06		C100672	NPI1-Talk Big	Neuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true?	NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True
	NPI1F07		C100673	NPI1-Other Signs of Feeling Too Happy	Neuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy?	NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy
	NPI1F08		C103617	NPI1-Elation/Euphoria Frequency	Neuropsychiatric Inventory - Frequency of the elation/euphoria.	NPI - Elation/Euphoria Frequency
	NPI1F09		C103618	NPI1-Elation/Euphoria Severity	Neuropsychiatric Inventory - Severity of the elation/euphoria.	NPI - Elation/Euphoria Severity
	NPI1F10		C103619	NPI1-Elation/Euphoria Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Elation/Euphoria Distress
	NPI1FFS		C112474	NPI1-Elation/Euphoria FxS Score	Neuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score).	NPI - Elation/Euphoria FxS Score
	NPI1G		C100674	NPI1-Lost Interest in World	Neuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent?	NPI - Lost Interest in the World Around Him/Her
	NPI1G01		C100675	NPI1-Less Spontaneous or Active	Neuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual?	NPI - Seem Less Spontaneous and Less Active Than Usual
	NPI1G02		C100676	NPI1-Less Likely Initiate Conversation	Neuropsychiatric Inventory - Is the patient less likely to initiate a conversation?	NPI - Less Likely Initiate to Initiate a Conversation
	NPI1G03		C100677	NPI1-Less Affectionate	Neuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self?	NPI - Less Affectionate or Lacking in Emotions
	NPI1G04		C100678	NPI1-Contribute Less to Chores	Neuropsychiatric Inventory - Does the patient contribute less to household chores?	NPI - Contribute Less to Household Chores
	NPI1G05		C100679	NPI1-Less Interest in Activities	Neuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others?	NPI - Less Interested in the Activities and Plans of Others
	NPI1G06		C100680	NPI1-Lost Interest in Friends	Neuropsychiatric Inventory - Has the patient lost interest in friends and family members?	NPI - Lost Interest in Friends and Family Members
	NPI1G07		C100681	NPI1-Less Enthusiastic	Neuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests?	NPI - Less Enthusiastic About His/Her Usual Interests
	NPI1G08		C100682	NPI1-Other Signs of Not Caring	Neuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things?	NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things
	NPI1G09		C103620	NPI1-Apathy/Indifference Frequency	Neuropsychiatric Inventory - Frequency of the apathy/indifference.	NPI - Apathy/Indifference Frequency
	NPI1G10		C103621	NPI1-Apathy/Indifference Severity	Neuropsychiatric Inventory - Severity of the apathy/indifference.	NPI - Apathy/Indifference Severity
	NPI1G11		C103622	NPI1-Apathy/Indifference Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Apathy/Indifference Distress
	NPI1GFS		C112475	NPI1-Apathy/Indifference FxS Score	Neuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score).	NPI - Apathy/Indifference FxS Score
	NPI1H		C100683	NPI1-Act Impulsively	Neuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others?	NPI - Seem to Act Impulsively Without Thinking
	NPI1H01		C100684	NPI1-Act Impulsively without Care	Neuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences?	NPI - Act Impulsively without Appearing to Consider the Consequences
	NPI1H02		C100685	NPI1-Talk to Strangers	Neuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them?	NPI - Talk to Total Strangers as if He/She Knew Them
	NPI1H03		C100686	NPI1-Say Insensitive Things	Neuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings?	NPI - Say Things to People that are Insensitive
	NPI1H04		C100687	NPI1-Make Crude Remarks	Neuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said?	NPI - Say Crude Things or Make Sexual Remarks
	NPI1H05		C100688	NPI1-Talk Openly about Private Matters	Neuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public?	NPI - Talk Openly About Very Personal or Private Matters
	NPI1H06		C100689	NPI1-Take Liberties or Touch Others	Neuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her?	NPI - Take Liberties or Touch or Hug Others
	NPI1H07		C100690	NPI1-Other Signs of Impulses	Neuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses?	NPI - Show Any Other Signs of Loss of Control of His/Her Impulses
	NPI1H08		C103623	NPI1-Disinhibition Frequency	Neuropsychiatric Inventory - Frequency of the disinhibition.	NPI - Disinhibition Frequency
	NPI1H09		C103624	NPI1-Disinhibition Severity	Neuropsychiatric Inventory - Severity of the disinhibition.	NPI - Disinhibition Severity
	NPI1H10		C103625	NPI1-Disinhibition Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Disinhibition Distress
	NPI1HFS		C112476	NPI1-Disinhibition FxS Score	Neuropsychiatric Inventory - Disinhibition: (frequency score x severity score).	NPI - Disinhibition FxS Score
	NPI1I		C100691	NPI1-Irritated and Easily Disturbed	Neuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self.	NPI - Get Irritated and Easily Disturbed
	NPI1I01		C100692	NPI1-Bad Temper	Neuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things?	NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things
	NPI1I02		C100693	NPI1-Rapidly Change Moods	Neuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next?	NPI - Rapidly Change Moods From One to Another
	NPI1I03		C100694	NPI1-Sudden Anger	Neuropsychiatric Inventory - Does the patient have sudden flashes of anger?	NPI - Sudden Flares of Anger
	NPI1I04		C100695	NPI1-Impatient	Neuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities?	NPI - Impatient, Having Trouble Coping with Delays
	NPI1I05		C100696	NPI1-Cranky and Irritable	Neuropsychiatric Inventory - Is the patient cranky and irritable?	NPI - Cranky and Irritable
	NPI1I06		C100697	NPI1-Argumentative	Neuropsychiatric Inventory - Is the patient argumentative and difficult to get along with?	NPI - Argumentative and Difficult to Get Along With
	NPI1I07		C100698	NPI1-Other Signs of Irritability	Neuropsychiatric Inventory - Does the patient show any other signs of irritability?	NPI - Show Any Other Signs of Irritability
	NPI1I08		C103626	NPI1-Irritability/Lability Frequency	Neuropsychiatric Inventory - Frequency of the irritability/lability.	NPI - Irritability/Lability Frequency
	NPI1I09		C103627	NPI1-Irritability/Lability Severity	Neuropsychiatric Inventory - Severity of the irritability/lability.	NPI - Irritability/Lability Severity
	NPI1I10		C103628	NPI1-Irritability/Lability Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Irritability/Lability Distress
	NPI1IFS		C112477	NPI1-Irritability/Lability FxS Score	Neuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score).	NPI - Irritability/Lability FxS Score
	NPI1J		C100699	NPI1-Do Things Repeatedly	Neuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads?	NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things
	NPI1J01		C100700	NPI1-Pace	Neuropsychiatric Inventory - Does the patient pace around the house without apparent purpose?	NPI - Pace Around the House Without Apparent Purpose
	NPI1J02		C100701	NPI1-Rummage Around and Unpack	Neuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets?	NPI - Rummage Around Opening and Unpacking Drawers or Closets
	NPI1J03		C100702	NPI1-Repeatedly Change Clothing	Neuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing?	NPI - Repeatedly Put On and Take Off Clothing
	NPI1J04		C100703	NPI1-Repetitive Activities or Habits	Neuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over?	NPI - Repetitive Activities or 'Habits'
	NPI1J05		C100704	NPI1-Repetitive Activities	Neuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.?	NPI - Engage in Repetitive Activities
	NPI1J06		C100705	NPI1-Fidget Excessively	Neuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot?	NPI - Fidget Excessively, Seem Unable to Sit Still
	NPI1J07		C100706	NPI1-Other Repetitive Activities	Neuropsychiatric Inventory - Does the patient do any other activities over and over?	NPI - Do Any Other Activities Over and Over
	NPI1J08		C103629	NPI1-Aberrant Motor Behavior Frequency	Neuropsychiatric Inventory - Frequency of the aberrant motor behavior.	NPI - Aberrant Motor Behavior Frequency
	NPI1J09		C103630	NPI1-Aberrant Motor Behavior Severity	Neuropsychiatric Inventory - Severity of the aberrant motor behavior.	NPI - Aberrant Motor Behavior Severity
	NPI1J10		C103631	NPI1-Aberrant Motor Behavior Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Aberrant Motor Behavior Distress
	NPI1JFS		C112478	NPI1-Aberrant Motor Behavior FxS Score	Neuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score).	NPI - Aberrant Motor Behavior FxS Score
	NPI1K		C100707	NPI1-Difficulty Sleeping	Neuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep?	NPI - Difficulty Sleeping
	NPI1K01		C100708	NPI1-Difficulty Falling Asleep	Neuropsychiatric Inventory - Does the patient have difficulty falling asleep?	NPI - Difficulty Falling Asleep
	NPI1K02		C100709	NPI1-Get Up during Night	Neuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)?	NPI - Get Up During the Night
	NPI1K03		C100710	NPI1-Wander or Pace at Night	Neuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night?	NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night
	NPI1K04		C100711	NPI1-Awaken Caregiver during Night	Neuropsychiatric Inventory - Does the patient awaken you during the night?	NPI - Awaken You During the Night
	NPI1K05		C100712	NPI1-Wake at Night and Think Morning	Neuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day?	NPI - Wake Up at Night, Dress, and Plan to Go Out
	NPI1K06		C100713	NPI1-Awaken Too Early in Morning	Neuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)?	NPI - Awaken Too Early in Morning
	NPI1K07		C100714	NPI1-Excessive Sleep during Day	Neuropsychiatric Inventory - Does the patient sleep excessively during the day?	NPI - Sleep Excessively During the Day
	NPI1K08		C100715	NPI1-Other Nighttime Behaviors	Neuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about?	NPI - Any Other Nighttime Behaviors That Bother You
	NPI1K09		C103632	NPI1-Sleep/Nighttime Behavior Frequency	Neuropsychiatric Inventory - Frequency of the nighttime behavior.	NPI - Sleep and Nighttime Behavior Disorders Frequency
	NPI1K10		C103633	NPI1-Sleep/Nighttime Behavior Severity	Neuropsychiatric Inventory - Severity of the nighttime behavior.	NPI - Sleep and Nighttime Behavior Disorders Severity
	NPI1K11		C103634	NPI1-Sleep/Nighttime Behavior Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Sleep and Nighttime Behavior Disorders Distress
	NPI1KFS		C112479	NPI1-Sleep/Night Behav Disord FxS Score	Neuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score).	NPI - Sleep/Night Behavior Disorder FxS Score
	NPI1L		C100716	NPI1-Change in Appetite or Weight	Neuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers?	NPI - Change in Appetite, Weight, or Eating Habits
	NPI1L01		C100717	NPI1-Loss of Appetite	Neuropsychiatric Inventory - Has he/she had a loss of appetite?	NPI - Loss of Appetite
	NPI1L02		C100718	NPI1-Increase in Appetite	Neuropsychiatric Inventory - Has he/she had an increase in appetite?	NPI - Increase in Appetite
	NPI1L03		C100719	NPI1-Weight Loss	Neuropsychiatric Inventory - Has he/she had a loss of weight?	NPI - Loss of Weight
	NPI1L04		C100720	NPI1-Weight Gain	Neuropsychiatric Inventory - Has he/she gained weight?	NPI - Gained Weight
	NPI1L05		C100721	NPI1-Change in Eating Behavior	Neuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once?	NPI - Change in Eating Behavior
	NPI1L06		C100722	NPI1-Change in Kind of Food	Neuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food?	NPI - Change in Kind of Food He/She Likes
	NPI1L07		C100723	NPI1-Develop Eating Behaviors	Neuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order?	NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food
	NPI1L08		C100724	NPI1-Other Changes in Eating	Neuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about?	NPI - Any Other Changes in Appetite or Eating
	NPI1L09		C103635	NPI1-Appetite/Eating Disorder Frequency	Neuropsychiatric Inventory - Frequency of the changes in eating habits or appetite.	NPI - Appetite and Eating Disorders Frequency
	NPI1L10		C103636	NPI1-Appetite/Eating Disorder Severity	Neuropsychiatric Inventory - Severity of the changes in eating habits or appetite.	NPI - Appetite and Eating Disorders Severity
	NPI1L11		C103637	NPI1-Appetite/Eating Disorder Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Appetite and Eating Disorders Distress
	NPI1LFS		C112480	NPI1-Appetite/Eating Disorders FxS Score	Neuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score).	NPI - Appetite/Eating Disorders FxS Score
	NPI1TOT		C112481	NPI1-NPI Total Score	Neuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total).	NPI - NPI Total Score
Back to top
CL.C100143.NPI TEST	QS-Neuropsychiatric Inventory Test Name (NPI TEST)	text Extensible: No	C100143	QS-Neuropsychiatric Inventory Test Name	The Neuropsychiatric Inventory test name.	CDISC Questionnaire NPI Test Name Terminology
	NPI1-Aberrant Motor Behavior Distress		C103631	NPI1-Aberrant Motor Behavior Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Aberrant Motor Behavior Distress
	NPI1-Aberrant Motor Behavior Frequency		C103629	NPI1-Aberrant Motor Behavior Frequency	Neuropsychiatric Inventory - Frequency of the aberrant motor behavior.	NPI - Aberrant Motor Behavior Frequency
	NPI1-Aberrant Motor Behavior FxS Score		C112478	NPI1-Aberrant Motor Behavior FxS Score	Neuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score).	NPI - Aberrant Motor Behavior FxS Score
	NPI1-Aberrant Motor Behavior Severity		C103630	NPI1-Aberrant Motor Behavior Severity	Neuropsychiatric Inventory - Severity of the aberrant motor behavior.	NPI - Aberrant Motor Behavior Severity
	NPI1-Act Impulsively		C100683	NPI1-Act Impulsively	Neuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others?	NPI - Seem to Act Impulsively Without Thinking
	NPI1-Act Impulsively without Care		C100684	NPI1-Act Impulsively without Care	Neuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences?	NPI - Act Impulsively without Appearing to Consider the Consequences
	NPI1-Agitation/Aggression Distress		C103610	NPI1-Agitation/Aggression Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Agitation/Aggression Distress
	NPI1-Agitation/Aggression Frequency		C103608	NPI1-Agitation/Aggression Frequency	Neuropsychiatric Inventory - Frequency of the agitation/aggression.	NPI - Agitation/Aggression Frequency
	NPI1-Agitation/Aggression FxS Score		C112471	NPI1-Agitation/Aggression FxS Score	Neuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score).	NPI - Agitation/Aggression FxS Score
	NPI1-Agitation/Aggression Severity		C103609	NPI1-Agitation/Aggression Severity	Neuropsychiatric Inventory - Severity of the agitation/aggression.	NPI - Agitation/Aggression Severity
	NPI1-Anxiety Distress		C103616	NPI1-Anxiety Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Anxiety Distress
	NPI1-Anxiety Frequency		C103614	NPI1-Anxiety Frequency	Neuropsychiatric Inventory - Frequency of the anxiety.	NPI - Anxiety Frequency
	NPI1-Anxiety FxS Score		C112473	NPI1-Anxiety FxS Score	Neuropsychiatric Inventory - Anxiety: (frequency score x severity score).	NPI - Anxiety FxS Score
	NPI1-Anxiety Severity		C103615	NPI1-Anxiety Severity	Neuropsychiatric Inventory - Severity of the anxiety.	NPI - Anxiety Severity
	NPI1-Apathy/Indifference Distress		C103622	NPI1-Apathy/Indifference Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Apathy/Indifference Distress
	NPI1-Apathy/Indifference Frequency		C103620	NPI1-Apathy/Indifference Frequency	Neuropsychiatric Inventory - Frequency of the apathy/indifference.	NPI - Apathy/Indifference Frequency
	NPI1-Apathy/Indifference FxS Score		C112475	NPI1-Apathy/Indifference FxS Score	Neuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score).	NPI - Apathy/Indifference FxS Score
	NPI1-Apathy/Indifference Severity		C103621	NPI1-Apathy/Indifference Severity	Neuropsychiatric Inventory - Severity of the apathy/indifference.	NPI - Apathy/Indifference Severity
	NPI1-Appetite/Eating Disorder Distress		C103637	NPI1-Appetite/Eating Disorder Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Appetite and Eating Disorders Distress
	NPI1-Appetite/Eating Disorder Frequency		C103635	NPI1-Appetite/Eating Disorder Frequency	Neuropsychiatric Inventory - Frequency of the changes in eating habits or appetite.	NPI - Appetite and Eating Disorders Frequency
	NPI1-Appetite/Eating Disorder Severity		C103636	NPI1-Appetite/Eating Disorder Severity	Neuropsychiatric Inventory - Severity of the changes in eating habits or appetite.	NPI - Appetite and Eating Disorders Severity
	NPI1-Appetite/Eating Disorders FxS Score		C112480	NPI1-Appetite/Eating Disorders FxS Score	Neuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score).	NPI - Appetite/Eating Disorders FxS Score
	NPI1-Argumentative		C100697	NPI1-Argumentative	Neuropsychiatric Inventory - Is the patient argumentative and difficult to get along with?	NPI - Argumentative and Difficult to Get Along With
	NPI1-Avoid Places or Situations		C100663	NPI1-Avoid Places or Situations	Neuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds?	NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous
	NPI1-Awaken Caregiver during Night		C100711	NPI1-Awaken Caregiver during Night	Neuropsychiatric Inventory - Does the patient awaken you during the night?	NPI - Awaken You During the Night
	NPI1-Awaken Too Early in Morning		C100713	NPI1-Awaken Too Early in Morning	Neuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)?	NPI - Awaken Too Early in Morning
	NPI1-Bad Person		C100653	NPI1-Bad Person	Neuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished?	NPI - Say That He/She is a Bad Person
	NPI1-Bad Temper		C100692	NPI1-Bad Temper	Neuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things?	NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things
	NPI1-Beliefs Untrue		C100622	NPI1-Beliefs Untrue	Neuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her.	NPI - Have Beliefs That You Know are Not True
	NPI1-Burden to Family		C100655	NPI1-Burden to Family	Neuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her?	NPI - Say He/She is a Burden to the Family
	NPI1-Butterflies or Racing Heart		C100662	NPI1-Butterflies or Racing Heart	Neuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health).	NPI - Complain of Butterflies, Racing or Pounding Heart
	NPI1-Change in Appetite or Weight		C100716	NPI1-Change in Appetite or Weight	Neuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers?	NPI - Change in Appetite, Weight, or Eating Habits
	NPI1-Change in Eating Behavior		C100721	NPI1-Change in Eating Behavior	Neuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once?	NPI - Change in Eating Behavior
	NPI1-Change in Kind of Food		C100722	NPI1-Change in Kind of Food	Neuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food?	NPI - Change in Kind of Food He/She Likes
	NPI1-Childish Pranks		C100671	NPI1-Childish Pranks	Neuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it?	NPI - Play Childish Pranks
	NPI1-Childish Sense of Humor		C100669	NPI1-Childish Sense of Humor	Neuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)?	NPI - Seem to Have a Childish Sense of Humor
	NPI1-Contribute Less to Chores		C100678	NPI1-Contribute Less to Chores	Neuropsychiatric Inventory - Does the patient contribute less to household chores?	NPI - Contribute Less to Household Chores
	NPI1-Cranky and Irritable		C100696	NPI1-Cranky and Irritable	Neuropsychiatric Inventory - Is the patient cranky and irritable?	NPI - Cranky and Irritable
	NPI1-Delusions Distress		C103604	NPI1-Delusions Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Delusions Distress
	NPI1-Delusions Frequency		C103602	NPI1-Delusions Frequency	Neuropsychiatric Inventory - Frequency of the delusions.	NPI - Delusions Frequency
	NPI1-Delusions FxS Score		C112469	NPI1-Delusions FxS Score	Neuropsychiatric Inventory - Delusions: (frequency score x severity score).	NPI - Delusions FxS Score
	NPI1-Delusions Severity		C103603	NPI1-Delusions Severity	Neuropsychiatric Inventory - Severity of the delusions.	NPI - Delusions Severity
	NPI1-Depression/Dysphoria Distress		C103613	NPI1-Depression/Dysphoria Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Depression/Dysphoria Distress
	NPI1-Depression/Dysphoria Frequency		C103611	NPI1-Depression/Dysphoria Frequency	Neuropsychiatric Inventory - Frequency of the depression/dysphoria.	NPI - Depression/Dysphoria Frequency
	NPI1-Depression/Dysphoria FxS Score		C112472	NPI1-Depression/Dysphoria FxS Score	Neuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score).	NPI - Depression/Dysphoria FxS Score
	NPI1-Depression/Dysphoria Severity		C103612	NPI1-Depression/Dysphoria Severity	Neuropsychiatric Inventory - Severity of the depression/dysphoria.	NPI - Depression/Dysphoria Severity
	NPI1-Develop Eating Behaviors		C100723	NPI1-Develop Eating Behaviors	Neuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order?	NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food
	NPI1-Difficulty Falling Asleep		C100708	NPI1-Difficulty Falling Asleep	Neuropsychiatric Inventory - Does the patient have difficulty falling asleep?	NPI - Difficulty Falling Asleep
	NPI1-Difficulty Sleeping		C100707	NPI1-Difficulty Sleeping	Neuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep?	NPI - Difficulty Sleeping
	NPI1-Discouraged		C100654	NPI1-Discouraged	Neuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future?	NPI - Seem Very Discouraged
	NPI1-Disinhibition Distress		C103625	NPI1-Disinhibition Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Disinhibition Distress
	NPI1-Disinhibition Frequency		C103623	NPI1-Disinhibition Frequency	Neuropsychiatric Inventory - Frequency of the disinhibition.	NPI - Disinhibition Frequency
	NPI1-Disinhibition FxS Score		C112476	NPI1-Disinhibition FxS Score	Neuropsychiatric Inventory - Disinhibition: (frequency score x severity score).	NPI - Disinhibition FxS Score
	NPI1-Disinhibition Severity		C103624	NPI1-Disinhibition Severity	Neuropsychiatric Inventory - Severity of the disinhibition.	NPI - Disinhibition Severity
	NPI1-Do Things Repeatedly		C100699	NPI1-Do Things Repeatedly	Neuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads?	NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things
	NPI1-Elation/Euphoria Distress		C103619	NPI1-Elation/Euphoria Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Elation/Euphoria Distress
	NPI1-Elation/Euphoria Frequency		C103617	NPI1-Elation/Euphoria Frequency	Neuropsychiatric Inventory - Frequency of the elation/euphoria.	NPI - Elation/Euphoria Frequency
	NPI1-Elation/Euphoria FxS Score		C112474	NPI1-Elation/Euphoria FxS Score	Neuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score).	NPI - Elation/Euphoria FxS Score
	NPI1-Elation/Euphoria Severity		C103618	NPI1-Elation/Euphoria Severity	Neuropsychiatric Inventory - Severity of the elation/euphoria.	NPI - Elation/Euphoria Severity
	NPI1-Excessive Sleep during Day		C100714	NPI1-Excessive Sleep during Day	Neuropsychiatric Inventory - Does the patient sleep excessively during the day?	NPI - Sleep Excessively During the Day
	NPI1-False Visions or Voices		C100632	NPI1-False Visions or Voices	Neuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions.	NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices
	NPI1-Family Plans to Abandon		C100629	NPI1-Family Plans to Abandon	Neuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her?	NPI - Family Members Plan to Abandon Him/Her
	NPI1-Feel Good or Too Happy		C100667	NPI1-Feel Good or Too Happy	Neuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self?	NPI - Appear to Feel Good or to Be Too Happy
	NPI1-Feel Like a Failure		C100652	NPI1-Feel Like a Failure	Neuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure?	NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure
	NPI1-Feel Things on Skin		C100637	NPI1-Feel Things on Skin	Neuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her?	NPI - Describe Feeling Things on His/Her Skin
	NPI1-Fidget Excessively		C100705	NPI1-Fidget Excessively	Neuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot?	NPI - Fidget Excessively, Seem Unable to Sit Still
	NPI1-Get Up during Night		C100709	NPI1-Get Up during Night	Neuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)?	NPI - Get Up During the Night
	NPI1-Get Upset with Caregiver		C100641	NPI1-Get Upset with Caregiver	Neuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes?	NPI - Get Upset with Those Trying to Care for Him/Her
	NPI1-Hallucinations Distress		C103607	NPI1-Hallucinations Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Hallucinations Distress
	NPI1-Hallucinations Frequency		C103605	NPI1-Hallucinations Frequency	Neuropsychiatric Inventory - Frequency of the hallucinations.	NPI - Hallucinations Frequency
	NPI1-Hallucinations FxS Score		C112470	NPI1-Hallucinations FxS Score	Neuropsychiatric Inventory - Hallucinations: (frequency score x severity score).	NPI - Hallucinations FxS Score
	NPI1-Hallucinations Severity		C103606	NPI1-Hallucinations Severity	Neuropsychiatric Inventory - Severity of the hallucinations.	NPI - Hallucinations Severity
	NPI1-Hearing Voices		C100633	NPI1-Hearing Voices	Neuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices?	NPI - Describe Hearing Voices or Act as if He/She Hears Voices
	NPI1-House Not Their Home		C100628	NPI1-House Not Their Home	Neuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home?	NPI - His/Her House Is Not His/Her Home
	NPI1-Humor Others Do Not Find Funny		C100668	NPI1-Humor Others Do Not Find Funny	Neuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny?	NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny
	NPI1-Hurt or Hit Others		C100647	NPI1-Hurt or Hit Others	Neuropsychiatric Inventory - Does the patient attempt to hurt or hit others?	NPI - Attempt to Hurt or Hit Others
	NPI1-Impatient		C100695	NPI1-Impatient	Neuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities?	NPI - Impatient, Having Trouble Coping with Delays
	NPI1-In Danger		C100623	NPI1-In Danger	Neuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her?	NPI - He/She is in Danger
	NPI1-Increase in Appetite		C100718	NPI1-Increase in Appetite	Neuropsychiatric Inventory - Has he/she had an increase in appetite?	NPI - Increase in Appetite
	NPI1-Irritability/Lability Distress		C103628	NPI1-Irritability/Lability Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Irritability/Lability Distress
	NPI1-Irritability/Lability Frequency		C103626	NPI1-Irritability/Lability Frequency	Neuropsychiatric Inventory - Frequency of the irritability/lability.	NPI - Irritability/Lability Frequency
	NPI1-Irritability/Lability FxS Score		C112477	NPI1-Irritability/Lability FxS Score	Neuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score).	NPI - Irritability/Lability FxS Score
	NPI1-Irritability/Lability Severity		C103627	NPI1-Irritability/Lability Severity	Neuropsychiatric Inventory - Severity of the irritability/lability.	NPI - Irritability/Lability Severity
	NPI1-Irritated and Easily Disturbed		C100691	NPI1-Irritated and Easily Disturbed	Neuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self.	NPI - Get Irritated and Easily Disturbed
	NPI1-Jokes Others Do Not Find Funny		C100670	NPI1-Jokes Others Do Not Find Funny	Neuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her?	NPI - Tell Jokes or Make Remarks That are Not Funny to Others
	NPI1-Less Affectionate		C100677	NPI1-Less Affectionate	Neuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self?	NPI - Less Affectionate or Lacking in Emotions
	NPI1-Less Enthusiastic		C100681	NPI1-Less Enthusiastic	Neuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests?	NPI - Less Enthusiastic About His/Her Usual Interests
	NPI1-Less Interest in Activities		C100679	NPI1-Less Interest in Activities	Neuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others?	NPI - Less Interested in the Activities and Plans of Others
	NPI1-Less Likely Initiate Conversation		C100676	NPI1-Less Likely Initiate Conversation	Neuropsychiatric Inventory - Is the patient less likely to initiate a conversation?	NPI - Less Likely Initiate to Initiate a Conversation
	NPI1-Less Spontaneous or Active		C100675	NPI1-Less Spontaneous or Active	Neuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual?	NPI - Seem Less Spontaneous and Less Active Than Usual
	NPI1-Loss of Appetite		C100717	NPI1-Loss of Appetite	Neuropsychiatric Inventory - Has he/she had a loss of appetite?	NPI - Loss of Appetite
	NPI1-Lost Interest in Friends		C100680	NPI1-Lost Interest in Friends	Neuropsychiatric Inventory - Has the patient lost interest in friends and family members?	NPI - Lost Interest in Friends and Family Members
	NPI1-Lost Interest in World		C100674	NPI1-Lost Interest in World	Neuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent?	NPI - Lost Interest in the World Around Him/Her
	NPI1-Make Crude Remarks		C100687	NPI1-Make Crude Remarks	Neuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said?	NPI - Say Crude Things or Make Sexual Remarks
	NPI1-Nervous or Worried		C100658	NPI1-Nervous or Worried	Neuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you?	NPI - Very Nervous, Worried, or Frightened for No Apparent Reason
	NPI1-Nervous when Separated		C100664	NPI1-Nervous when Separated	Neuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?).	NPI - Become Nervous and Upset When Separated From You
	NPI1-NPI Total Distress Score		C112482	NPI1-NPI Total Distress Score	Neuropsychiatric Inventory - Sub-total of distress score.	NPI - NPI Total Distress Score
	NPI1-NPI Total Score		C112481	NPI1-NPI Total Score	Neuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total).	NPI - NPI Total Score
	NPI1-Other Aggressive Behavior		C100648	NPI1-Other Aggressive Behavior	Neuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors?	NPI - Any Other Aggressive or Agitated Behaviors
	NPI1-Other Behaviors Hard to Handle		C100644	NPI1-Other Behaviors Hard to Handle	Neuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle?	NPI - Any Other Behaviors That Make Him/Her Hard to Handle
	NPI1-Other Changes in Eating		C100724	NPI1-Other Changes in Eating	Neuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about?	NPI - Any Other Changes in Appetite or Eating
	NPI1-Other Nighttime Behaviors		C100715	NPI1-Other Nighttime Behaviors	Neuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about?	NPI - Any Other Nighttime Behaviors That Bother You
	NPI1-Other Repetitive Activities		C100706	NPI1-Other Repetitive Activities	Neuropsychiatric Inventory - Does the patient do any other activities over and over?	NPI - Do Any Other Activities Over and Over
	NPI1-Other Signs of Anxiety		C100665	NPI1-Other Signs of Anxiety	Neuropsychiatric Inventory - Does the patient show any other signs of anxiety?	NPI - Show Any Other Signs of Anxiety
	NPI1-Other Signs of Depression		C100657	NPI1-Other Signs of Depression	Neuropsychiatric Inventory - Does the patient show any other signs of depression or sadness?	NPI - Show Any Other Signs of Depression or Sadness
	NPI1-Other Signs of Feeling Too Happy		C100673	NPI1-Other Signs of Feeling Too Happy	Neuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy?	NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy
	NPI1-Other Signs of Impulses		C100690	NPI1-Other Signs of Impulses	Neuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses?	NPI - Show Any Other Signs of Loss of Control of His/Her Impulses
	NPI1-Other Signs of Irritability		C100698	NPI1-Other Signs of Irritability	Neuropsychiatric Inventory - Does the patient show any other signs of irritability?	NPI - Show Any Other Signs of Irritability
	NPI1-Other Signs of Not Caring		C100682	NPI1-Other Signs of Not Caring	Neuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things?	NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things
	NPI1-Other Unusual Beliefs		C100631	NPI1-Other Unusual Beliefs	Neuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about?	NPI - Any Other Unusual Things That I Haven't Asked About
	NPI1-Other Unusual Sensory Experience		C100639	NPI1-Other Unusual Sensory Experience	Neuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences?	NPI - Describe Any Other Unusual Sensory Experiences
	NPI1-Others Are Stealing		C100624	NPI1-Others Are Stealing	Neuropsychiatric Inventory - Does the patient believe that others are stealing from him/her?	NPI - Others are Stealing From Him/Her
	NPI1-Pace		C100700	NPI1-Pace	Neuropsychiatric Inventory - Does the patient pace around the house without apparent purpose?	NPI - Pace Around the House Without Apparent Purpose
	NPI1-People Not Who They Claim		C100627	NPI1-People Not Who They Claim	Neuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be?	NPI - His/Her Spouse or Others Are Not Who They Claim To Be
	NPI1-Rapidly Change Moods		C100693	NPI1-Rapidly Change Moods	Neuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next?	NPI - Rapidly Change Moods From One to Another
	NPI1-Refuse to Cooperate		C100640	NPI1-Refuse to Cooperate	Neuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle?	NPI - Periods When He/She Refuses to Cooperate
	NPI1-Repeatedly Change Clothing		C100702	NPI1-Repeatedly Change Clothing	Neuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing?	NPI - Repeatedly Put On and Take Off Clothing
	NPI1-Repetitive Activities		C100704	NPI1-Repetitive Activities	Neuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.?	NPI - Engage in Repetitive Activities
	NPI1-Repetitive Activities or Habits		C100703	NPI1-Repetitive Activities or Habits	Neuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over?	NPI - Repetitive Activities or 'Habits'
	NPI1-Rummage Around and Unpack		C100701	NPI1-Rummage Around and Unpack	Neuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets?	NPI - Rummage Around Opening and Unpacking Drawers or Closets
	NPI1-Sad or Depressed		C100649	NPI1-Sad or Depressed	Neuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed?	NPI - Seem Sad or Depressed
	NPI1-Say Insensitive Things		C100686	NPI1-Say Insensitive Things	Neuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings?	NPI - Say Things to People that are Insensitive
	NPI1-Say or Act in Low Spirits		C100651	NPI1-Say or Act in Low Spirits	Neuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits?	NPI - Say, or Act as if He/She is Sad or in Low Spirits
	NPI1-See Things Not Seen by Others		C100635	NPI1-See Things Not Seen by Others	Neuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)?	NPI - Describe Seeing Things Not Seen by Others
	NPI1-Shaky or Unable to Relax		C100660	NPI1-Shaky or Unable to Relax	Neuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense?	NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense
	NPI1-Short of Breath, Gasp, Sigh		C100661	NPI1-Short of Breath, Gasp, Sigh	Neuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness?	NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason
	NPI1-Shout or Curse Angrily		C100645	NPI1-Shout or Curse Angrily	Neuropsychiatric Inventory - Does the patient shout or curse angrily?	NPI - Shout or Curse Angrily
	NPI1-Slam, Kick or Throw Things		C100646	NPI1-Slam, Kick or Throw Things	Neuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things?	NPI - Slam doors, Kick Furniture, Throw Things
	NPI1-Sleep/Night Behav Disord FxS Score		C112479	NPI1-Sleep/Night Behav Disord FxS Score	Neuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score).	NPI - Sleep/Night Behavior Disorder FxS Score
	NPI1-Sleep/Nighttime Behavior Distress		C103634	NPI1-Sleep/Nighttime Behavior Distress	Neuropsychiatric Inventory - How emotionally distressing do you find this behavior?	NPI - Sleep and Nighttime Behavior Disorders Distress
	NPI1-Sleep/Nighttime Behavior Frequency		C103632	NPI1-Sleep/Nighttime Behavior Frequency	Neuropsychiatric Inventory - Frequency of the nighttime behavior.	NPI - Sleep and Nighttime Behavior Disorders Frequency
	NPI1-Sleep/Nighttime Behavior Severity		C103633	NPI1-Sleep/Nighttime Behavior Severity	Neuropsychiatric Inventory - Severity of the nighttime behavior.	NPI - Sleep and Nighttime Behavior Disorders Severity
	NPI1-Smell Odors Others Do Not Smell		C100636	NPI1-Smell Odors Others Do Not Smell	Neuropsychiatric Inventory - Does the patient report smelling odors not smelled by others?	NPI - Report Smelling Odors Not Smelled by Others
	NPI1-Spouse Having Affair		C100625	NPI1-Spouse Having Affair	Neuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair?	NPI - His/Her Spouse is Having an Affair
	NPI1-Stubborn		C100642	NPI1-Stubborn	Neuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way?	NPI - Stubborn
	NPI1-Sudden Anger		C100694	NPI1-Sudden Anger	Neuropsychiatric Inventory - Does the patient have sudden flashes of anger?	NPI - Sudden Flares of Anger
	NPI1-Take Liberties or Touch Others		C100689	NPI1-Take Liberties or Touch Others	Neuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her?	NPI - Take Liberties or Touch or Hug Others
	NPI1-Talk Big		C100672	NPI1-Talk Big	Neuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true?	NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True
	NPI1-Talk Openly about Private Matters		C100688	NPI1-Talk Openly about Private Matters	Neuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public?	NPI - Talk Openly About Very Personal or Private Matters
	NPI1-Talk to People Not There		C100634	NPI1-Talk to People Not There	Neuropsychiatric Inventory - Does the patient talk to people who are not there?	NPI - Talk to People Who Are Not There
	NPI1-Talk to Strangers		C100685	NPI1-Talk to Strangers	Neuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them?	NPI - Talk to Total Strangers as if He/She Knew Them
	NPI1-Taste without Known Cause		C100638	NPI1-Taste without Known Cause	Neuropsychiatric Inventory - Does the patient describe tastes that are without any known cause?	NPI - Describe Tastes That Are Without Any Known Cause
	NPI1-Tearfulness or Sobbing		C100650	NPI1-Tearfulness or Sobbing	Neuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness?	NPI - Periods of Tearfulness or Sobbing
	NPI1-Too Cheerful or Happy		C100666	NPI1-Too Cheerful or Happy	Neuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not.	NPI - Seem Too Cheerful or Too Happy for No Reason
	NPI1-TV/Magazine Figures Present		C100630	NPI1-TV/Magazine Figures Present	Neuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?)	NPI - Television or Magazine Figures Are Actually Present In the Home
	NPI1-Uncooperative		C100643	NPI1-Uncooperative	Neuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others?	NPI - Uncooperative
	NPI1-Unwelcome Guests in House		C100626	NPI1-Unwelcome Guests in House	Neuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house?	NPI - Unwelcome Guests are Living in His/Her House
	NPI1-Wake at Night and Think Morning		C100712	NPI1-Wake at Night and Think Morning	Neuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day?	NPI - Wake Up at Night, Dress, and Plan to Go Out
	NPI1-Wander or Pace at Night		C100710	NPI1-Wander or Pace at Night	Neuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night?	NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night
	NPI1-Weight Gain		C100720	NPI1-Weight Gain	Neuropsychiatric Inventory - Has he/she gained weight?	NPI - Gained Weight
	NPI1-Weight Loss		C100719	NPI1-Weight Loss	Neuropsychiatric Inventory - Has he/she had a loss of weight?	NPI - Loss of Weight
	NPI1-Wish for Death		C100656	NPI1-Wish for Death	Neuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself?	NPI - Express a Wish for Death
	NPI1-Worried about Planned Event		C100659	NPI1-Worried about Planned Event	Neuropsychiatric Inventory - Does the patient say that he/she is worried about planned events?	NPI - Say That He/She is Worried About Planned Events
Back to top
CL.C105134.PI TESTCD	QS-Pain Intensity Questionnaire Test Code (PI TESTCD)	text Extensible: No	C105134	QS-Pain Intensity Questionnaire Test Code	Pain Intensity test code.	CDISC Questionnaire PI v1 Test Code Terminology
	PI0101		C105261	PI01-Pain Intensity	Pain Intensity - Pain intensity for various time periods of evaluation.	PI - Pain Intensity For Various Time Periods of Evaluation
	PI0102		C105262	PI01-Average Pain Intensity	Pain Intensity - Average pain intensity for various time periods of evaluation.	PI - Average Pain Intensity For Various Time Periods of Evaluation
	PI0103		C105263	PI01-Minimum Pain Intensity	Pain Intensity - Minimum pain intensity for various time periods of evaluation.	PI - Minimum Pain Intensity For Various Time Periods of Evaluation
	PI0104		C105264	PI01-Maximum Pain Intensity	Pain Intensity - Maximum pain intensity for various time periods of evaluation.	PI - Maximum Pain Intensity For Various Time Periods of Evaluation
	PI0105		C105265	PI01-Least Pain Intensity	Pain Intensity - Least pain intensity for various time periods of evaluation.	PI - Least Pain Intensity For Various Time Periods of Evaluation
	PI0106		C105266	PI01-Worst Pain Intensity	Pain Intensity - Worst pain intensity for various time periods of evaluation.	PI - Worst Pain Intensity For Various Time Periods of Evaluation
Back to top
CL.C105133.PI TEST	QS-Pain Intensity Questionnaire Test Name (PI TEST)	text Extensible: No	C105133	QS-Pain Intensity Questionnaire Test Name	Pain Intensity test name.	CDISC Questionnaire PI v1 Test Name Terminology
	PI01-Average Pain Intensity		C105262	PI01-Average Pain Intensity	Pain Intensity - Average pain intensity for various time periods of evaluation.	PI - Average Pain Intensity For Various Time Periods of Evaluation
	PI01-Least Pain Intensity		C105265	PI01-Least Pain Intensity	Pain Intensity - Least pain intensity for various time periods of evaluation.	PI - Least Pain Intensity For Various Time Periods of Evaluation
	PI01-Maximum Pain Intensity		C105264	PI01-Maximum Pain Intensity	Pain Intensity - Maximum pain intensity for various time periods of evaluation.	PI - Maximum Pain Intensity For Various Time Periods of Evaluation
	PI01-Minimum Pain Intensity		C105263	PI01-Minimum Pain Intensity	Pain Intensity - Minimum pain intensity for various time periods of evaluation.	PI - Minimum Pain Intensity For Various Time Periods of Evaluation
	PI01-Pain Intensity		C105261	PI01-Pain Intensity	Pain Intensity - Pain intensity for various time periods of evaluation.	PI - Pain Intensity For Various Time Periods of Evaluation
	PI01-Worst Pain Intensity		C105266	PI01-Worst Pain Intensity	Pain Intensity - Worst pain intensity for various time periods of evaluation.	PI - Worst Pain Intensity For Various Time Periods of Evaluation
Back to top
CL.C105136.PR TESTCD	QS-Pain Relief Questionnaire Test Code (PR TESTCD)	text Extensible: No	C105136	QS-Pain Relief Questionnaire Test Code	Pain Relief test code.	CDISC Questionnaire PR v1 Test Code Terminology
	PR0101		C105267	PR01-Pain Relief	Pain Relief - Pain relief for various time periods of evaluation.	PR - Pain Relief For Various Time Periods of Evaluation
	PR0102		C105268	PR01-Average Pain Relief	Pain Relief - Average pain relief for various time periods of evaluation.	PR - Average Pain Relief For Various Time Periods of Evaluation
	PR0103		C105269	PR01-Minimum Pain Relief	Pain Relief - Minimum pain relief for various time periods of evaluation.	PR - Minimum Pain Relief For Various Time Periods of Evaluation
	PR0104		C105270	PR01-Maximum Pain Relief	Pain Relief - Maximum pain relief for various time periods of evaluation.	PR - Maximum Pain Relief For Various Time Periods of Evaluation
	PR0105		C105271	PR01-Least Pain Relief	Pain Relief - Least pain relief for various time periods of evaluation.	PR - Least Pain Relief For Various Time Periods of Evaluation
	PR0106		C105272	PR01-Worst Pain Relief	Pain Relief - Worst pain relief for various time periods of evaluation.	PR - Worst Pain Relief For Various Time Periods of Evaluation
	PR0107		C105273	PR01-Starting Pain at Least 1/2 Gone	Pain Relief - Starting pain at least 1/2 Gone?	PR - Starting Pain Half Gone
	PR0108		C105274	PR01-Was there Perceptible Pain Relief	Pain Relief - Was there perceptible pain relief?	PR - Was There Perceptible Pain Relief
	PR0109		C105275	PR01-Time to Perceptible Pain Relief	Pain Relief - Time to perceptible pain relief.	PR - Time to Perceptible Pain Relief
	PR0110		C105276	PR01-Was there Meaningful Pain Relief	Pain Relief - Was there meaningful pain relief?	PR - Was There Meaningful Pain Relief
	PR0111		C105277	PR01-Time to Meaningful Pain Relief	Pain Relief - Time to meaningful pain relief.	PR - Time to Meaningful Pain Relief
Back to top
CL.C105135.PR TEST	QS-Pain Relief Questionnaire Test Name (PR TEST)	text Extensible: No	C105135	QS-Pain Relief Questionnaire Test Name	Pain Relief test name.	CDISC Questionnaire PR v1 Test Name Terminology
	PR01-Average Pain Relief		C105268	PR01-Average Pain Relief	Pain Relief - Average pain relief for various time periods of evaluation.	PR - Average Pain Relief For Various Time Periods of Evaluation
	PR01-Least Pain Relief		C105271	PR01-Least Pain Relief	Pain Relief - Least pain relief for various time periods of evaluation.	PR - Least Pain Relief For Various Time Periods of Evaluation
	PR01-Maximum Pain Relief		C105270	PR01-Maximum Pain Relief	Pain Relief - Maximum pain relief for various time periods of evaluation.	PR - Maximum Pain Relief For Various Time Periods of Evaluation
	PR01-Minimum Pain Relief		C105269	PR01-Minimum Pain Relief	Pain Relief - Minimum pain relief for various time periods of evaluation.	PR - Minimum Pain Relief For Various Time Periods of Evaluation
	PR01-Pain Relief		C105267	PR01-Pain Relief	Pain Relief - Pain relief for various time periods of evaluation.	PR - Pain Relief For Various Time Periods of Evaluation
	PR01-Starting Pain at Least 1/2 Gone		C105273	PR01-Starting Pain at Least 1/2 Gone	Pain Relief - Starting pain at least 1/2 Gone?	PR - Starting Pain Half Gone
	PR01-Time to Meaningful Pain Relief		C105277	PR01-Time to Meaningful Pain Relief	Pain Relief - Time to meaningful pain relief.	PR - Time to Meaningful Pain Relief
	PR01-Time to Perceptible Pain Relief		C105275	PR01-Time to Perceptible Pain Relief	Pain Relief - Time to perceptible pain relief.	PR - Time to Perceptible Pain Relief
	PR01-Was there Meaningful Pain Relief		C105276	PR01-Was there Meaningful Pain Relief	Pain Relief - Was there meaningful pain relief?	PR - Was There Meaningful Pain Relief
	PR01-Was there Perceptible Pain Relief		C105274	PR01-Was there Perceptible Pain Relief	Pain Relief - Was there perceptible pain relief?	PR - Was There Perceptible Pain Relief
	PR01-Worst Pain Relief		C105272	PR01-Worst Pain Relief	Pain Relief - Worst pain relief for various time periods of evaluation.	PR - Worst Pain Relief For Various Time Periods of Evaluation
Back to top
CL.C112447.PDDS TESTCD	QS-Patient Determined Disease Steps Questionnaire Test Code (PDDS TESTCD)	text Extensible: No	C112447	QS-Patient Determined Disease Steps Questionnaire Test Code	Patient Determined Disease Steps test code.	CDISC Questionnaire PDDS Test Code Terminology
	PDDS0101		C112626	PDDS01-Category Describing Situation	Patient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest.	PDDS - Category Describing Situation
Back to top
CL.C112446.PDDS TEST	QS-Patient Determined Disease Steps Questionnaire Test Name (PDDS TEST)	text Extensible: No	C112446	QS-Patient Determined Disease Steps Questionnaire Test Name	Patient Determined Disease Steps test name.	CDISC Questionnaire PDDS Test Name Terminology
	PDDS01-Category Describing Situation		C112626	PDDS01-Category Describing Situation	Patient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest.	PDDS - Category Describing Situation
Back to top
CL.C103483.PHQ-15 TESTCD	QS-Patient Health Questionnaire - 15 Item Test Code (PHQ-15 TESTCD)	text Extensible: No	C103483	QS-Patient Health Questionnaire - 15 Item Test Code	Patient Health Questionnaire - 15 test code.	CDISC Questionnaire PHQ-15 Test Code Terminology
	PHQ0201		C103715	PHQ02-Stomach Pain	Patient Health Questionnaire - 15 - Stomach pain.	PHQ-15 - Stomach Pain
	PHQ0202		C103716	PHQ02-Back Pain	Patient Health Questionnaire - 15 - Back pain.	PHQ-15 - Back Pain
	PHQ0203		C103717	PHQ02-Pain In Your Arms, Legs, or Joints	Patient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.).	PHQ-15 - Pain In Your Arms, Legs, or Joints
	PHQ0204		C103718	PHQ02-Menstrual Cramp/Problem Periods	Patient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only].	PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
	PHQ0205		C103719	PHQ02-Headaches	Patient Health Questionnaire - 15 - Headaches.	PHQ-15 - Headaches
	PHQ0206		C103720	PHQ02-Chest Pain	Patient Health Questionnaire - 15 - Chest pain.	PHQ-15 - Chest Pain
	PHQ0207		C103721	PHQ02-Dizziness	Patient Health Questionnaire - 15 - Dizziness.	PHQ-15 - Dizziness
	PHQ0208		C103722	PHQ02-Fainting Spells	Patient Health Questionnaire - 15 - Fainting spells.	PHQ-15 - Fainting Spells
	PHQ0209		C103723	PHQ02-Feeling Your Heart Pound or Race	Patient Health Questionnaire - 15 - Feeling your heart pound or race.	PHQ-15 - Feeling Your Heart Pound or Race
	PHQ0210		C103724	PHQ02-Shortness of Breath	Patient Health Questionnaire - 15 - Shortness of breath.	PHQ-15 - Shortness of Breath
	PHQ0211		C103725	PHQ02-Pain/Problems During Intercourse	Patient Health Questionnaire - 15 - Pain or problems during sexual intercourse.	PHQ-15 - Pain or Problems During Sexual Intercourse
	PHQ0212		C103726	PHQ02-Constipation/Loose Bowels/Diarrhea	Patient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea.	PHQ-15 - Constipation, Loose Bowels, or Diarrhea
	PHQ0213		C103727	PHQ02-Nausea, Gas, or Indigestion	Patient Health Questionnaire - 15 - Nausea, gas, or indigestion.	PHQ-15 - Nausea, Gas, or Indigestion
	PHQ0214		C103728	PHQ02-Feeling Tired or Having Low Energy	Patient Health Questionnaire - 15 - Feeling tired or having low energy.	PHQ-15 - Feeling Tired or Having Low Energy
	PHQ0215		C103729	PHQ02-Trouble Sleeping	Patient Health Questionnaire - 15 - Trouble sleeping.	PHQ-15 - Trouble Sleeping
Back to top
CL.C103482.PHQ-15 TEST	QS-Patient Health Questionnaire - 15 Item Test Name (PHQ-15 TEST)	text Extensible: No	C103482	QS-Patient Health Questionnaire - 15 Item Test Name	Patient Health Questionnaire - 15 test name.	CDISC Questionnaire PHQ-15 Test Name Terminology
	PHQ02-Back Pain		C103716	PHQ02-Back Pain	Patient Health Questionnaire - 15 - Back pain.	PHQ-15 - Back Pain
	PHQ02-Chest Pain		C103720	PHQ02-Chest Pain	Patient Health Questionnaire - 15 - Chest pain.	PHQ-15 - Chest Pain
	PHQ02-Constipation/Loose Bowels/Diarrhea		C103726	PHQ02-Constipation/Loose Bowels/Diarrhea	Patient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea.	PHQ-15 - Constipation, Loose Bowels, or Diarrhea
	PHQ02-Dizziness		C103721	PHQ02-Dizziness	Patient Health Questionnaire - 15 - Dizziness.	PHQ-15 - Dizziness
	PHQ02-Fainting Spells		C103722	PHQ02-Fainting Spells	Patient Health Questionnaire - 15 - Fainting spells.	PHQ-15 - Fainting Spells
	PHQ02-Feeling Tired or Having Low Energy		C103728	PHQ02-Feeling Tired or Having Low Energy	Patient Health Questionnaire - 15 - Feeling tired or having low energy.	PHQ-15 - Feeling Tired or Having Low Energy
	PHQ02-Feeling Your Heart Pound or Race		C103723	PHQ02-Feeling Your Heart Pound or Race	Patient Health Questionnaire - 15 - Feeling your heart pound or race.	PHQ-15 - Feeling Your Heart Pound or Race
	PHQ02-Headaches		C103719	PHQ02-Headaches	Patient Health Questionnaire - 15 - Headaches.	PHQ-15 - Headaches
	PHQ02-Menstrual Cramp/Problem Periods		C103718	PHQ02-Menstrual Cramp/Problem Periods	Patient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only].	PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
	PHQ02-Nausea, Gas, or Indigestion		C103727	PHQ02-Nausea, Gas, or Indigestion	Patient Health Questionnaire - 15 - Nausea, gas, or indigestion.	PHQ-15 - Nausea, Gas, or Indigestion
	PHQ02-Pain In Your Arms, Legs, or Joints		C103717	PHQ02-Pain In Your Arms, Legs, or Joints	Patient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.).	PHQ-15 - Pain In Your Arms, Legs, or Joints
	PHQ02-Pain/Problems During Intercourse		C103725	PHQ02-Pain/Problems During Intercourse	Patient Health Questionnaire - 15 - Pain or problems during sexual intercourse.	PHQ-15 - Pain or Problems During Sexual Intercourse
	PHQ02-Shortness of Breath		C103724	PHQ02-Shortness of Breath	Patient Health Questionnaire - 15 - Shortness of breath.	PHQ-15 - Shortness of Breath
	PHQ02-Stomach Pain		C103715	PHQ02-Stomach Pain	Patient Health Questionnaire - 15 - Stomach pain.	PHQ-15 - Stomach Pain
	PHQ02-Trouble Sleeping		C103729	PHQ02-Trouble Sleeping	Patient Health Questionnaire - 15 - Trouble sleeping.	PHQ-15 - Trouble Sleeping
Back to top
CL.C103481.PHQ-9 TESTCD	QS-Patient Health Questionnaire - 9 Item Test Code (PHQ-9 TESTCD)	text Extensible: No	C103481	QS-Patient Health Questionnaire - 9 Item Test Code	Patient Health Questionnaire - 9 test code.	CDISC Questionnaire PHQ-9 Test Code Terminology
	PHQ0101		C103705	PHQ01-Little Interest/Pleasure in Things	Patient Health Questionnaire - 9 - Little interest or pleasure in doing things.	PHQ-9 - Little Interest or Pleasure in Doing Things
	PHQ0102		C103706	PHQ01-Feeling Down Depressed or Hopeless	Patient Health Questionnaire - 9 - Feeling down, depressed, or hopeless.	PHQ-9 - Feeling Down, Depressed, or Hopeless
	PHQ0103		C103707	PHQ01-Trouble Falling or Staying Asleep	Patient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much.	PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
	PHQ0104		C103708	PHQ01-Feeling Tired or Little Energy	Patient Health Questionnaire - 9 - Feeling tired or having little energy.	PHQ-9 - Feeling Tired or Having Little Energy
	PHQ0105		C103709	PHQ01-Poor Appetite or Overeating	Patient Health Questionnaire - 9 - Poor appetite or overeating.	PHQ-9 - Poor Appetite or Overeating
	PHQ0106		C103710	PHQ01-Feeling Bad About Yourself	Patient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down.	PHQ-9 - Feeling Bad About Yourself
	PHQ0107		C103711	PHQ01-Trouble Concentrating on Things	Patient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television.	PHQ-9 - Trouble Concentrating on Things
	PHQ0108		C103712	PHQ01-Moving Slowly or Fidgety/Restless	Patient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.	PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless
	PHQ0109		C103713	PHQ01-Thoughts You Be Better Off Dead	Patient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way.	PHQ-9 - Thoughts That You Would be Better Off Dead
	PHQ0110		C103714	PHQ01-Difficult to Work/Take Care Things	Patient Health Questionnaire - 9 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?	PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People
	PHQ0111		C113887	PHQ01-Total Score	Patient Health Questionnaire - 9 - Total score.	PHQ-9 - Total Score
Back to top
CL.C103480.PHQ-9 TEST	QS-Patient Health Questionnaire - 9 Item Test Name (PHQ-9 TEST)	text Extensible: No	C103480	QS-Patient Health Questionnaire - 9 Item Test Name	Patient Health Questionnaire - 9 test name.	CDISC Questionnaire PHQ-9 Test Name Terminology
	PHQ01-Difficult to Work/Take Care Things		C103714	PHQ01-Difficult to Work/Take Care Things	Patient Health Questionnaire - 9 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?	PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People
	PHQ01-Feeling Bad About Yourself		C103710	PHQ01-Feeling Bad About Yourself	Patient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down.	PHQ-9 - Feeling Bad About Yourself
	PHQ01-Feeling Down Depressed or Hopeless		C103706	PHQ01-Feeling Down Depressed or Hopeless	Patient Health Questionnaire - 9 - Feeling down, depressed, or hopeless.	PHQ-9 - Feeling Down, Depressed, or Hopeless
	PHQ01-Feeling Tired or Little Energy		C103708	PHQ01-Feeling Tired or Little Energy	Patient Health Questionnaire - 9 - Feeling tired or having little energy.	PHQ-9 - Feeling Tired or Having Little Energy
	PHQ01-Little Interest/Pleasure in Things		C103705	PHQ01-Little Interest/Pleasure in Things	Patient Health Questionnaire - 9 - Little interest or pleasure in doing things.	PHQ-9 - Little Interest or Pleasure in Doing Things
	PHQ01-Moving Slowly or Fidgety/Restless		C103712	PHQ01-Moving Slowly or Fidgety/Restless	Patient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.	PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless
	PHQ01-Poor Appetite or Overeating		C103709	PHQ01-Poor Appetite or Overeating	Patient Health Questionnaire - 9 - Poor appetite or overeating.	PHQ-9 - Poor Appetite or Overeating
	PHQ01-Thoughts You Be Better Off Dead		C103713	PHQ01-Thoughts You Be Better Off Dead	Patient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way.	PHQ-9 - Thoughts That You Would be Better Off Dead
	PHQ01-Total Score		C113887	PHQ01-Total Score	Patient Health Questionnaire - 9 - Total score.	PHQ-9 - Total Score
	PHQ01-Trouble Concentrating on Things		C103711	PHQ01-Trouble Concentrating on Things	Patient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television.	PHQ-9 - Trouble Concentrating on Things
	PHQ01-Trouble Falling or Staying Asleep		C103707	PHQ01-Trouble Falling or Staying Asleep	Patient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much.	PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
Back to top
CL.C113862.RAND-36 V1.0 TESTCD	QS-RAND 36-Item Health Survey 1.0 Test Code (RAND-36 V1.0 TESTCD)	text Extensible: No	C113862	QS-RAND 36-Item Health Survey 1.0 Test Code	RAND 36-Item Health Survey 1.0 test code.	CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Code Terminology
	R360101		C114043	R3601-Would You Say Your Health Is	RAND 36-Item Health Survey 1.0 - In general, would you say your health is:	RAND-36 - Rate Your Health
	R360102		C114044	R3601-Health Now Compared to 1 Year Ago	RAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now?	RAND-36 - Rate Your Health Compared to One Year Ago
	R360103		C114045	R3601-Health Limit Vigorous Activities	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.	RAND-36 - Health Limit Vigorous Activities
	R360104		C114046	R3601-Health Limit Moderate Activities	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.	RAND-36 - Health Limit Moderate Activities
	R360105		C114047	R3601-Health Limit Carrying Groceries	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries.	RAND-36 - Health Limit Lifting Groceries
	R360106		C114048	R3601-Health Limit Climb Several Flights	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs.	RAND-36 - Health Limit Climbing Several Flights
	R360107		C114049	R3601-Health Limit Climb One Flight	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs.	RAND-36 - Health Limit Climbing One Flight
	R360108		C114050	R3601-Health Limit Bending or Kneeling	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping.	RAND-36 - Health Limit Bending or Stooping
	R360109		C114051	R3601-Health Limit Walk More Than Mile	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile.	RAND-36 - Health Limit Walking More Than A Mile
	R360110		C114052	R3601-Health Limit Walk Several Blocks	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks.	RAND-36 - Health Limit Walking Several Blocks
	R360111		C114053	R3601-Health Limit Walk One Block	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block.	RAND-36 - Health Limit Walking One Block
	R360112		C114054	R3601-Health Limit Bathing/Dressing Self	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself.	RAND-36 - Health Limit Bathing or Dressing
	R360113		C114055	R3601-Phys Health: Cut Work Time	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities.	RAND-36 - Physical Health Cut Down Time Spent on Work
	R360114		C114056	R3601-Phys Health: Accomplish Less	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.	RAND-36 - Physical Health Accomplished Less
	R360115		C114057	R3601-Phys Health: Limit Kind of Work	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.	RAND-36 - Physical Health Limited in the Kind of Work
	R360116		C114058	R3601-Phys Health: Difficulty Performing	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.	RAND-36 - Physical Health Difficulty Performing Work
	R360117		C114059	R3601-Emotional Problem: Cut Work Time	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities.	RAND-36 - Emotional Problem Cut Down Time Spent on Work
	R360118		C114060	R3601-Emotional Problem: Accomplish Less	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.	RAND-36 - Emotional Problem Accomplished Less
	R360119		C114061	R3601-Emotional Problem: Less Careful	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.	RAND-36 - Emotional Problem Did Not Do Work as Carefully
	R360120		C114062	R3601-Extent Interfered Social Activity	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?	RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities
	R360121		C114063	R3601-How Much Bodily Pain Have You Had	RAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks?	RAND-36 - Bodily Pain
	R360122		C114064	R3601-Did Pain Interfere With Your Work	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work?	RAND-36 - Pain Interfere With Normal Work
	R360123		C114065	R3601-Did You Feel Full of Pep	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep?	RAND-36 - Feel Full of Pep
	R360124		C114066	R3601-Have Been a Very Nervous Person	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person?	RAND-36 - Been a Nervous Person
	R360125		C114067	R3601-Have Felt So Down in the Dumps	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?	RAND-36 - Felt Nothing Could Cheer You Up
	R360126		C114068	R3601-Have You Felt Calm and Peaceful	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful?	RAND-36 - Felt Calm and Peaceful
	R360127		C114069	R3601-Did You Have a Lot of Energy	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy?	RAND-36 - Have a Lot of Energy
	R360128		C114070	R3601-Have Felt Downhearted and Blue	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue?	RAND-36 - Felt Downhearted and Blue
	R360129		C114071	R3601-Did You Feel Worn Out	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out?	RAND-36 - Feel Worn Out
	R360130		C114072	R3601-Have You Been a Happy Person	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person?	RAND-36 - Been a Happy Person
	R360131		C114073	R3601-Did You Feel Tired	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired?	RAND-36 - Feel Tired
	R360132		C114074	R3601-Amt Time Interfere Social Activity	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?	RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities
	R360133		C114075	R3601-Get Sick Easier Than Other People	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.	RAND-36 - Get Sick Easier Than Other
	R360134		C114076	R3601-I Am as Healthy as Anybody I Know	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.	RAND-36 - As Healthy as Anybody
	R360135		C114077	R3601-I Expect My Health to Get Worse	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.	RAND-36 - Expect Health to Get Worse
	R360136		C114078	R3601-My Health Is Excellent	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent.	RAND-36 - My Health is Excellent
Back to top
CL.C113861.RAND-36 V1.0 TEST	QS-RAND 36-Item Health Survey 1.0 Test Name (RAND-36 V1.0 TEST)	text Extensible: No	C113861	QS-RAND 36-Item Health Survey 1.0 Test Name	RAND 36-Item Health Survey 1.0 test name.	CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Name Terminology
	R3601-Amt Time Interfere Social Activity		C114074	R3601-Amt Time Interfere Social Activity	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?	RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities
	R3601-Did Pain Interfere With Your Work		C114064	R3601-Did Pain Interfere With Your Work	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work?	RAND-36 - Pain Interfere With Normal Work
	R3601-Did You Feel Full of Pep		C114065	R3601-Did You Feel Full of Pep	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep?	RAND-36 - Feel Full of Pep
	R3601-Did You Feel Tired		C114073	R3601-Did You Feel Tired	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired?	RAND-36 - Feel Tired
	R3601-Did You Feel Worn Out		C114071	R3601-Did You Feel Worn Out	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out?	RAND-36 - Feel Worn Out
	R3601-Did You Have a Lot of Energy		C114069	R3601-Did You Have a Lot of Energy	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy?	RAND-36 - Have a Lot of Energy
	R3601-Emotional Problem: Accomplish Less		C114060	R3601-Emotional Problem: Accomplish Less	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.	RAND-36 - Emotional Problem Accomplished Less
	R3601-Emotional Problem: Cut Work Time		C114059	R3601-Emotional Problem: Cut Work Time	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities.	RAND-36 - Emotional Problem Cut Down Time Spent on Work
	R3601-Emotional Problem: Less Careful		C114061	R3601-Emotional Problem: Less Careful	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.	RAND-36 - Emotional Problem Did Not Do Work as Carefully
	R3601-Extent Interfered Social Activity		C114062	R3601-Extent Interfered Social Activity	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?	RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities
	R3601-Get Sick Easier Than Other People		C114075	R3601-Get Sick Easier Than Other People	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.	RAND-36 - Get Sick Easier Than Other
	R3601-Have Been a Very Nervous Person		C114066	R3601-Have Been a Very Nervous Person	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person?	RAND-36 - Been a Nervous Person
	R3601-Have Felt Downhearted and Blue		C114070	R3601-Have Felt Downhearted and Blue	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue?	RAND-36 - Felt Downhearted and Blue
	R3601-Have Felt So Down in the Dumps		C114067	R3601-Have Felt So Down in the Dumps	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?	RAND-36 - Felt Nothing Could Cheer You Up
	R3601-Have You Been a Happy Person		C114072	R3601-Have You Been a Happy Person	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person?	RAND-36 - Been a Happy Person
	R3601-Have You Felt Calm and Peaceful		C114068	R3601-Have You Felt Calm and Peaceful	RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful?	RAND-36 - Felt Calm and Peaceful
	R3601-Health Limit Bathing/Dressing Self		C114054	R3601-Health Limit Bathing/Dressing Self	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself.	RAND-36 - Health Limit Bathing or Dressing
	R3601-Health Limit Bending or Kneeling		C114050	R3601-Health Limit Bending or Kneeling	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping.	RAND-36 - Health Limit Bending or Stooping
	R3601-Health Limit Carrying Groceries		C114047	R3601-Health Limit Carrying Groceries	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries.	RAND-36 - Health Limit Lifting Groceries
	R3601-Health Limit Climb One Flight		C114049	R3601-Health Limit Climb One Flight	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs.	RAND-36 - Health Limit Climbing One Flight
	R3601-Health Limit Climb Several Flights		C114048	R3601-Health Limit Climb Several Flights	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs.	RAND-36 - Health Limit Climbing Several Flights
	R3601-Health Limit Moderate Activities		C114046	R3601-Health Limit Moderate Activities	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.	RAND-36 - Health Limit Moderate Activities
	R3601-Health Limit Vigorous Activities		C114045	R3601-Health Limit Vigorous Activities	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.	RAND-36 - Health Limit Vigorous Activities
	R3601-Health Limit Walk More Than Mile		C114051	R3601-Health Limit Walk More Than Mile	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile.	RAND-36 - Health Limit Walking More Than A Mile
	R3601-Health Limit Walk One Block		C114053	R3601-Health Limit Walk One Block	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block.	RAND-36 - Health Limit Walking One Block
	R3601-Health Limit Walk Several Blocks		C114052	R3601-Health Limit Walk Several Blocks	RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks.	RAND-36 - Health Limit Walking Several Blocks
	R3601-Health Now Compared to 1 Year Ago		C114044	R3601-Health Now Compared to 1 Year Ago	RAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now?	RAND-36 - Rate Your Health Compared to One Year Ago
	R3601-How Much Bodily Pain Have You Had		C114063	R3601-How Much Bodily Pain Have You Had	RAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks?	RAND-36 - Bodily Pain
	R3601-I Am as Healthy as Anybody I Know		C114076	R3601-I Am as Healthy as Anybody I Know	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.	RAND-36 - As Healthy as Anybody
	R3601-I Expect My Health to Get Worse		C114077	R3601-I Expect My Health to Get Worse	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.	RAND-36 - Expect Health to Get Worse
	R3601-My Health Is Excellent		C114078	R3601-My Health Is Excellent	RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent.	RAND-36 - My Health is Excellent
	R3601-Phys Health: Accomplish Less		C114056	R3601-Phys Health: Accomplish Less	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.	RAND-36 - Physical Health Accomplished Less
	R3601-Phys Health: Cut Work Time		C114055	R3601-Phys Health: Cut Work Time	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities.	RAND-36 - Physical Health Cut Down Time Spent on Work
	R3601-Phys Health: Difficulty Performing		C114058	R3601-Phys Health: Difficulty Performing	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.	RAND-36 - Physical Health Difficulty Performing Work
	R3601-Phys Health: Limit Kind of Work		C114057	R3601-Phys Health: Limit Kind of Work	RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.	RAND-36 - Physical Health Limited in the Kind of Work
	R3601-Would You Say Your Health Is		C114043	R3601-Would You Say Your Health Is	RAND 36-Item Health Survey 1.0 - In general, would you say your health is:	RAND-36 - Rate Your Health
Back to top
CL.C103465.FIQR TESTCD	QS-Revised Fibromyalgia Impact Questionnaire Test Code (FIQR TESTCD)	text Extensible: No	C103465	QS-Revised Fibromyalgia Impact Questionnaire Test Code	Revised Fibromyalgia Impact Questionnaire test code.	CDISC Questionnaire FIQR Test Code Terminology
	FIQR0101		C103544	FIQR01-Brush or Comb Your Hair	Revised Fibromyalgia Impact Questionnaire - Brush or comb your hair.	FIQR - Brush or Comb Your Hair
	FIQR0102		C103545	FIQR01-Walk Continuously for 20 Minutes	Revised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes.	FIQR - Walk Continuously for 20 Minutes
	FIQR0103		C103546	FIQR01-Prepare a Homemade Meal	Revised Fibromyalgia Impact Questionnaire - Prepare a homemade meal.	FIQR - Prepare a Homemade Meal
	FIQR0104		C103547	FIQR01-Vacuum Scrub or Sweep Floors	Revised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors.	FIQR - Vacuum Scrub or Sweep Floors
	FIQR0105		C103548	FIQR01-Lift/Carry Bag Full of Groceries	Revised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries.	FIQR - Lift and Carry a Bag Full of Groceries
	FIQR0106		C103549	FIQR01-Climb One Flight of Stairs	Revised Fibromyalgia Impact Questionnaire - Climb one flight of stairs.	FIQR - Climb One Flight of Stairs
	FIQR0107		C103550	FIQR01-Change Bed Sheets	Revised Fibromyalgia Impact Questionnaire - Change bed sheets.	FIQR - Change Bed Sheets
	FIQR0108		C103551	FIQR01-Sit in a Chair for 45 Minutes	Revised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes.	FIQR - Sit in a Chair for 45 Minutes
	FIQR0109		C103552	FIQR01-Go Shopping for Groceries	Revised Fibromyalgia Impact Questionnaire - Go shopping for groceries.	FIQR - Go Shopping for Groceries
	FIQR0110		C103553	FIQR01-Fibromyalgia Prevented Goals	Revised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week.	FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
	FIQR0111		C103554	FIQR01-Overwhelmed by Fibromyalgia	Revised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms.	FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
	FIQR0112		C103555	FIQR01-Pain	Revised Fibromyalgia Impact Questionnaire - Please rate your level of pain.	FIQR - Pain
	FIQR0113		C103556	FIQR01-Energy	Revised Fibromyalgia Impact Questionnaire - Please rate your level of energy.	FIQR - Energy
	FIQR0114		C103557	FIQR01-Stiffness	Revised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness.	FIQR - Stiffness
	FIQR0115		C103558	FIQR01-Your Sleep	Revised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep.	FIQR - Your Sleep
	FIQR0116		C103559	FIQR01-Depression	Revised Fibromyalgia Impact Questionnaire - Please rate your level of depression.	FIQR - Depression
	FIQR0117		C103560	FIQR01-Memory Problems	Revised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems.	FIQR - Memory Problems
	FIQR0118		C103561	FIQR01-Anxiety	Revised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety.	FIQR - Anxiety
	FIQR0119		C103562	FIQR01-Tenderness to Touch	Revised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch.	FIQR - Tenderness to Touch
	FIQR0120		C103563	FIQR01-Balance Problems	Revised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems.	FIQR - Balance Problems
	FIQR0121		C103564	FIQR01-Sensitivity Noise/Light/Odor/Cold	Revised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.	FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
	FIQR0122		C118107	FIQR01-Activities Sub-Total	Revised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory.	FIQR - Activities Sub-Total
	FIQR0123		C118108	FIQR01-Overall Impact Sub-Total	Revised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory.	FIQR - Overall Impact Sub-Total
	FIQR0124		C118109	FIQR01-Symptoms Sub-Total	Revised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory.	FIQR - Symptoms Sub-Total
	FIQR0125		C118110	FIQR01-FIQR Total	Revised Fibromyalgia Impact Questionnaire - FIQR total.	FIQR - FIQR Total
Back to top
CL.C103464.FIQR TEST	QS-Revised Fibromyalgia Impact Questionnaire Test Name (FIQR TEST)	text Extensible: No	C103464	QS-Revised Fibromyalgia Impact Questionnaire Test Name	Revised Fibromyalgia Impact Questionnaire test name.	CDISC Questionnaire FIQR Test Name Terminology
	FIQR01-Activities Sub-Total		C118107	FIQR01-Activities Sub-Total	Revised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory.	FIQR - Activities Sub-Total
	FIQR01-Anxiety		C103561	FIQR01-Anxiety	Revised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety.	FIQR - Anxiety
	FIQR01-Balance Problems		C103563	FIQR01-Balance Problems	Revised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems.	FIQR - Balance Problems
	FIQR01-Brush or Comb Your Hair		C103544	FIQR01-Brush or Comb Your Hair	Revised Fibromyalgia Impact Questionnaire - Brush or comb your hair.	FIQR - Brush or Comb Your Hair
	FIQR01-Change Bed Sheets		C103550	FIQR01-Change Bed Sheets	Revised Fibromyalgia Impact Questionnaire - Change bed sheets.	FIQR - Change Bed Sheets
	FIQR01-Climb One Flight of Stairs		C103549	FIQR01-Climb One Flight of Stairs	Revised Fibromyalgia Impact Questionnaire - Climb one flight of stairs.	FIQR - Climb One Flight of Stairs
	FIQR01-Depression		C103559	FIQR01-Depression	Revised Fibromyalgia Impact Questionnaire - Please rate your level of depression.	FIQR - Depression
	FIQR01-Energy		C103556	FIQR01-Energy	Revised Fibromyalgia Impact Questionnaire - Please rate your level of energy.	FIQR - Energy
	FIQR01-Fibromyalgia Prevented Goals		C103553	FIQR01-Fibromyalgia Prevented Goals	Revised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week.	FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
	FIQR01-FIQR Total		C118110	FIQR01-FIQR Total	Revised Fibromyalgia Impact Questionnaire - FIQR total.	FIQR - FIQR Total
	FIQR01-Go Shopping for Groceries		C103552	FIQR01-Go Shopping for Groceries	Revised Fibromyalgia Impact Questionnaire - Go shopping for groceries.	FIQR - Go Shopping for Groceries
	FIQR01-Lift/Carry Bag Full of Groceries		C103548	FIQR01-Lift/Carry Bag Full of Groceries	Revised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries.	FIQR - Lift and Carry a Bag Full of Groceries
	FIQR01-Memory Problems		C103560	FIQR01-Memory Problems	Revised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems.	FIQR - Memory Problems
	FIQR01-Overall Impact Sub-Total		C118108	FIQR01-Overall Impact Sub-Total	Revised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory.	FIQR - Overall Impact Sub-Total
	FIQR01-Overwhelmed by Fibromyalgia		C103554	FIQR01-Overwhelmed by Fibromyalgia	Revised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms.	FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
	FIQR01-Pain		C103555	FIQR01-Pain	Revised Fibromyalgia Impact Questionnaire - Please rate your level of pain.	FIQR - Pain
	FIQR01-Prepare a Homemade Meal		C103546	FIQR01-Prepare a Homemade Meal	Revised Fibromyalgia Impact Questionnaire - Prepare a homemade meal.	FIQR - Prepare a Homemade Meal
	FIQR01-Sensitivity Noise/Light/Odor/Cold		C103564	FIQR01-Sensitivity Noise/Light/Odor/Cold	Revised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.	FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
	FIQR01-Sit in a Chair for 45 Minutes		C103551	FIQR01-Sit in a Chair for 45 Minutes	Revised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes.	FIQR - Sit in a Chair for 45 Minutes
	FIQR01-Stiffness		C103557	FIQR01-Stiffness	Revised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness.	FIQR - Stiffness
	FIQR01-Symptoms Sub-Total		C118109	FIQR01-Symptoms Sub-Total	Revised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory.	FIQR - Symptoms Sub-Total
	FIQR01-Tenderness to Touch		C103562	FIQR01-Tenderness to Touch	Revised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch.	FIQR - Tenderness to Touch
	FIQR01-Vacuum Scrub or Sweep Floors		C103547	FIQR01-Vacuum Scrub or Sweep Floors	Revised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors.	FIQR - Vacuum Scrub or Sweep Floors
	FIQR01-Walk Continuously for 20 Minutes		C103545	FIQR01-Walk Continuously for 20 Minutes	Revised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes.	FIQR - Walk Continuously for 20 Minutes
	FIQR01-Your Sleep		C103558	FIQR01-Your Sleep	Revised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep.	FIQR - Your Sleep
Back to top
CL.C119072.RPQ TESTCD	QS-Rivermead Post Concussion Symptoms Questionnaire Test Code (RPQ TESTCD)	text Extensible: No	C119072	QS-Rivermead Post Concussion Symptoms Questionnaire Test Code	Rivermead Post Concussion Symptoms Questionnaire test code.	CDISC Questionnaire RPQ Test Code Terminology
	RPQ0101		C119175	RPQ01-Headaches	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches.	RPQ - Headaches
	RPQ0102		C119176	RPQ01-Feelings of Dizziness	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness.	RPQ - Feelings of Dizziness
	RPQ0103		C119177	RPQ01-Nausea and/or Vomiting	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting.	RPQ - Nausea and/or Vomiting
	RPQ0104		C119178	RPQ01-Noise Sensitivity/Loud Noise	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise.	RPQ - Noise Sensitivity
	RPQ0105		C119179	RPQ01-Sleep Disturbance	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance.	RPQ - Sleep Disturbance
	RPQ0106		C119180	RPQ01-Fatigue, Tiring More Easily	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily.	RPQ - Fatigue, Tiring More Easily
	RPQ0107		C119181	RPQ01-Being Irritable, Easily Angered	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered.	RPQ - Being Irritable, Easily Angered
	RPQ0108		C119182	RPQ01-Feeling Depressed or Tearful	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful.	RPQ - Feeling Depressed or Tearful
	RPQ0109		C119183	RPQ01-Feeling Frustrated or Impatient	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient.	RPQ - Feeling Frustrated or Impatient
	RPQ0110		C119184	RPQ01-Forgetfulness, Poor Memory	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory.	RPQ - Forgetfulness, Poor Memory
	RPQ0111		C119185	RPQ01-Poor Concentration	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration.	RPQ - Poor Concentration
	RPQ0112		C119186	RPQ01-Taking Longer to Think	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think.	RPQ - Taking Longer to Think
	RPQ0113		C119187	RPQ01-Blurred Vision	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision.	RPQ - Blurred Vision
	RPQ0114		C119188	RPQ01-Light Sensitivity/Bright Light	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light.	RPQ - Light Sensitivity
	RPQ0115		C119189	RPQ01-Double Vision	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision.	RPQ - Double Vision
	RPQ0116		C119190	RPQ01-Restlessness	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness.	RPQ - Restlessness
	RPQ0117A		C119191	RPQ01-Any Other Difficulties 1 (Text)	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text).	RPQ - Any Other Difficulties 1 (Text)
	RPQ0117B		C119192	RPQ01-Any Other Difficulties 1	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1?	RPQ - Any Other Difficulties 1 (number)
	RPQ0118A		C119193	RPQ01-Any Other Difficulties 2 (Text)	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text).	RPQ - Any Other Difficulties 2 (Text)
	RPQ0118B		C119194	RPQ01-Any Other Difficulties 2	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2?	RPQ - Any Other Difficulties 2 (Number)
Back to top
CL.C119071.RPQ TEST	QS-Rivermead Post Concussion Symptoms Questionnaire Test Name (RPQ TEST)	text Extensible: No	C119071	QS-Rivermead Post Concussion Symptoms Questionnaire Test Name	Rivermead Post Concussion Symptoms Questionnaire test name.	CDISC Questionnaire RPQ Test Name Terminology
	RPQ01-Any Other Difficulties 1		C119192	RPQ01-Any Other Difficulties 1	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1?	RPQ - Any Other Difficulties 1 (number)
	RPQ01-Any Other Difficulties 1 (Text)		C119191	RPQ01-Any Other Difficulties 1 (Text)	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text).	RPQ - Any Other Difficulties 1 (Text)
	RPQ01-Any Other Difficulties 2		C119194	RPQ01-Any Other Difficulties 2	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2?	RPQ - Any Other Difficulties 2 (Number)
	RPQ01-Any Other Difficulties 2 (Text)		C119193	RPQ01-Any Other Difficulties 2 (Text)	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text).	RPQ - Any Other Difficulties 2 (Text)
	RPQ01-Being Irritable, Easily Angered		C119181	RPQ01-Being Irritable, Easily Angered	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered.	RPQ - Being Irritable, Easily Angered
	RPQ01-Blurred Vision		C119187	RPQ01-Blurred Vision	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision.	RPQ - Blurred Vision
	RPQ01-Double Vision		C119189	RPQ01-Double Vision	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision.	RPQ - Double Vision
	RPQ01-Fatigue, Tiring More Easily		C119180	RPQ01-Fatigue, Tiring More Easily	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily.	RPQ - Fatigue, Tiring More Easily
	RPQ01-Feeling Depressed or Tearful		C119182	RPQ01-Feeling Depressed or Tearful	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful.	RPQ - Feeling Depressed or Tearful
	RPQ01-Feeling Frustrated or Impatient		C119183	RPQ01-Feeling Frustrated or Impatient	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient.	RPQ - Feeling Frustrated or Impatient
	RPQ01-Feelings of Dizziness		C119176	RPQ01-Feelings of Dizziness	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness.	RPQ - Feelings of Dizziness
	RPQ01-Forgetfulness, Poor Memory		C119184	RPQ01-Forgetfulness, Poor Memory	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory.	RPQ - Forgetfulness, Poor Memory
	RPQ01-Headaches		C119175	RPQ01-Headaches	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches.	RPQ - Headaches
	RPQ01-Light Sensitivity/Bright Light		C119188	RPQ01-Light Sensitivity/Bright Light	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light.	RPQ - Light Sensitivity
	RPQ01-Nausea and/or Vomiting		C119177	RPQ01-Nausea and/or Vomiting	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting.	RPQ - Nausea and/or Vomiting
	RPQ01-Noise Sensitivity/Loud Noise		C119178	RPQ01-Noise Sensitivity/Loud Noise	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise.	RPQ - Noise Sensitivity
	RPQ01-Poor Concentration		C119185	RPQ01-Poor Concentration	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration.	RPQ - Poor Concentration
	RPQ01-Restlessness		C119190	RPQ01-Restlessness	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness.	RPQ - Restlessness
	RPQ01-Sleep Disturbance		C119179	RPQ01-Sleep Disturbance	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance.	RPQ - Sleep Disturbance
	RPQ01-Taking Longer to Think		C119186	RPQ01-Taking Longer to Think	Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think.	RPQ - Taking Longer to Think
Back to top
CL.C100166.RDQ TESTCD	QS-Roland Morris Disability Questionnaire Test Code (RDQ TESTCD)	text Extensible: No	C100166	QS-Roland Morris Disability Questionnaire Test Code	Roland Morris Disability Questionnaire test code.	CDISC Questionnaire RDQ Test Code Terminology
	RDQ0101		C100780	RDQ01-Stay at Home	Roland Morris Disability Questionnaire - I stay at home most of the time because of my back.	RDQ - Stay at Home
	RDQ0102		C100781	RDQ01-Change Position Frequently	Roland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable.	RDQ - Change Position Frequently
	RDQ0103		C100782	RDQ01-Walk More Slowly	Roland Morris Disability Questionnaire - I walk more slowly than usual because of my back.	RDQ - Walk More Slowly
	RDQ0104		C100783	RDQ01-Not Do Any Usual Jobs	Roland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house.	RDQ - Not Do Any Usual House Jobs
	RDQ0105		C100784	RDQ01-Use Handrail to Get Upstairs	Roland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs.	RDQ - Use Handrail to Get Upstairs
	RDQ0106		C100785	RDQ01-Lie Down to Rest More Often	Roland Morris Disability Questionnaire - Because of my back, I lie down to rest more often.	RDQ - Lie Down to Rest More Often
	RDQ0107		C100786	RDQ01-Hold on to Get Out of a Chair	Roland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair.	RDQ - Hold on to Get Out of a Chair
	RDQ0108		C100787	RDQ01-Get Other People to Do Things	Roland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me.	RDQ - Get Other People to Do Things
	RDQ0109		C100788	RDQ01-Get Dressed More Slowly	Roland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back.	RDQ - Get Dressed More Slowly
	RDQ0110		C100789	RDQ01-Only Stand for Short Periods	Roland Morris Disability Questionnaire - I only stand for short periods of time because of my back.	RDQ - Only Stand for Short Periods
	RDQ0111		C100790	RDQ01-Try Not to Bend or Kneel	Roland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down.	RDQ - Try Not to Bend or Kneel
	RDQ0112		C100791	RDQ01-Difficult to Get Out of a Chair	Roland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back.	RDQ - Difficult to Get Out of a Chair
	RDQ0113		C100792	RDQ01-Painful Almost All the Time	Roland Morris Disability Questionnaire - My back is painful almost all the time.	RDQ - Painful Almost All the Time
	RDQ0114		C100793	RDQ01-Difficult to Turn Over in Bed	Roland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back.	RDQ - Difficult to Turn Over in Bed
	RDQ0115		C100794	RDQ01-Appetite is Not Very Good	Roland Morris Disability Questionnaire - My appetite is not very good because of my back pain.	RDQ - Appetite is Not Very Good
	RDQ0116		C100795	RDQ01-Trouble Putting on Socks/Stockings	Roland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back.	RDQ - Trouble Putting on Socks or Stockings
	RDQ0117		C100796	RDQ01-Only Walk Short Distances	Roland Morris Disability Questionnaire - I only walk short distances because of my back.	RDQ - Only Walk Short Distances
	RDQ0118		C100797	RDQ01-Sleep Less Well	Roland Morris Disability Questionnaire - I sleep less well because of my back.	RDQ - Sleep Less Well
	RDQ0119		C100798	RDQ01-Get Dressed With Help	Roland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else.	RDQ - Get Dressed With Help
	RDQ0120		C100799	RDQ01-Sit Down Most of the Day	Roland Morris Disability Questionnaire - I sit down for most of the day because of my back.	RDQ - Sit Down Most of the Day
	RDQ0121		C100800	RDQ01-Avoid Heavy Jobs	Roland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back.	RDQ - Avoid Heavy Jobs
	RDQ0122		C100801	RDQ01-More Irritable With People	Roland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual.	RDQ - More Irritable With People
	RDQ0123		C100802	RDQ01-Go Upstairs More Slowly	Roland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual.	RDQ - Go Upstairs More Slowly
	RDQ0124		C100803	RDQ01-Stay in Bed	Roland Morris Disability Questionnaire - I stay in bed most of the time because of my back.	RDQ - Stay in Bed
	RDQ0125		C100804	RDQ01-RDQ Total Score	Roland Morris Disability Questionnaire - RDQ total derived score.	RDQ - Total Derived Score
Back to top
CL.C100165.RDQ TEST	QS-Roland Morris Disability Questionnaire Test Name (RDQ TEST)	text Extensible: No	C100165	QS-Roland Morris Disability Questionnaire Test Name	Roland Morris Disability Questionnaire test name.	CDISC Questionnaire RDQ Test Name Terminology
	RDQ01-Appetite is Not Very Good		C100794	RDQ01-Appetite is Not Very Good	Roland Morris Disability Questionnaire - My appetite is not very good because of my back pain.	RDQ - Appetite is Not Very Good
	RDQ01-Avoid Heavy Jobs		C100800	RDQ01-Avoid Heavy Jobs	Roland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back.	RDQ - Avoid Heavy Jobs
	RDQ01-Change Position Frequently		C100781	RDQ01-Change Position Frequently	Roland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable.	RDQ - Change Position Frequently
	RDQ01-Difficult to Get Out of a Chair		C100791	RDQ01-Difficult to Get Out of a Chair	Roland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back.	RDQ - Difficult to Get Out of a Chair
	RDQ01-Difficult to Turn Over in Bed		C100793	RDQ01-Difficult to Turn Over in Bed	Roland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back.	RDQ - Difficult to Turn Over in Bed
	RDQ01-Get Dressed More Slowly		C100788	RDQ01-Get Dressed More Slowly	Roland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back.	RDQ - Get Dressed More Slowly
	RDQ01-Get Dressed With Help		C100798	RDQ01-Get Dressed With Help	Roland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else.	RDQ - Get Dressed With Help
	RDQ01-Get Other People to Do Things		C100787	RDQ01-Get Other People to Do Things	Roland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me.	RDQ - Get Other People to Do Things
	RDQ01-Go Upstairs More Slowly		C100802	RDQ01-Go Upstairs More Slowly	Roland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual.	RDQ - Go Upstairs More Slowly
	RDQ01-Hold on to Get Out of a Chair		C100786	RDQ01-Hold on to Get Out of a Chair	Roland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair.	RDQ - Hold on to Get Out of a Chair
	RDQ01-Lie Down to Rest More Often		C100785	RDQ01-Lie Down to Rest More Often	Roland Morris Disability Questionnaire - Because of my back, I lie down to rest more often.	RDQ - Lie Down to Rest More Often
	RDQ01-More Irritable With People		C100801	RDQ01-More Irritable With People	Roland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual.	RDQ - More Irritable With People
	RDQ01-Not Do Any Usual Jobs		C100783	RDQ01-Not Do Any Usual Jobs	Roland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house.	RDQ - Not Do Any Usual House Jobs
	RDQ01-Only Stand for Short Periods		C100789	RDQ01-Only Stand for Short Periods	Roland Morris Disability Questionnaire - I only stand for short periods of time because of my back.	RDQ - Only Stand for Short Periods
	RDQ01-Only Walk Short Distances		C100796	RDQ01-Only Walk Short Distances	Roland Morris Disability Questionnaire - I only walk short distances because of my back.	RDQ - Only Walk Short Distances
	RDQ01-Painful Almost All the Time		C100792	RDQ01-Painful Almost All the Time	Roland Morris Disability Questionnaire - My back is painful almost all the time.	RDQ - Painful Almost All the Time
	RDQ01-RDQ Total Score		C100804	RDQ01-RDQ Total Score	Roland Morris Disability Questionnaire - RDQ total derived score.	RDQ - Total Derived Score
	RDQ01-Sit Down Most of the Day		C100799	RDQ01-Sit Down Most of the Day	Roland Morris Disability Questionnaire - I sit down for most of the day because of my back.	RDQ - Sit Down Most of the Day
	RDQ01-Sleep Less Well		C100797	RDQ01-Sleep Less Well	Roland Morris Disability Questionnaire - I sleep less well because of my back.	RDQ - Sleep Less Well
	RDQ01-Stay at Home		C100780	RDQ01-Stay at Home	Roland Morris Disability Questionnaire - I stay at home most of the time because of my back.	RDQ - Stay at Home
	RDQ01-Stay in Bed		C100803	RDQ01-Stay in Bed	Roland Morris Disability Questionnaire - I stay in bed most of the time because of my back.	RDQ - Stay in Bed
	RDQ01-Trouble Putting on Socks/Stockings		C100795	RDQ01-Trouble Putting on Socks/Stockings	Roland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back.	RDQ - Trouble Putting on Socks or Stockings
	RDQ01-Try Not to Bend or Kneel		C100790	RDQ01-Try Not to Bend or Kneel	Roland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down.	RDQ - Try Not to Bend or Kneel
	RDQ01-Use Handrail to Get Upstairs		C100784	RDQ01-Use Handrail to Get Upstairs	Roland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs.	RDQ - Use Handrail to Get Upstairs
	RDQ01-Walk More Slowly		C100782	RDQ01-Walk More Slowly	Roland Morris Disability Questionnaire - I walk more slowly than usual because of my back.	RDQ - Walk More Slowly
Back to top
CL.C115408.SWLS TESTCD	QS-Satisfaction With Life Scale Questionnaire Test Code (SWLS TESTCD)	text Extensible: No	C115408	QS-Satisfaction With Life Scale Questionnaire Test Code	Satisfaction With Life Scale test code.	CDISC Questionnaire SWLS Test Code Terminology
	SWLS0101		C115895	SWLS01-My Life is Close to Ideal	Satisfaction With Life Scale - In most ways my life is close to ideal.	SWLS - My Life is Close to Ideal
	SWLS0102		C115896	SWLS01-My Life Conditions are Excellent	Satisfaction With Life Scale - The conditions of my life are excellent.	SWLS - Life Conditions are Excellent
	SWLS0103		C115897	SWLS01-I Am Satisfied with My Life	Satisfaction With Life Scale - I am satisfied with my life.	SWLS - Satisfied with My Life
	SWLS0104		C115898	SWLS01-Have Gotten Important Things	Satisfaction With Life Scale - So far I have gotten the important things I want in life.	SWLS - Have Gotten Important Things
	SWLS0105		C115899	SWLS01-Live Life Over Change Nothing	Satisfaction With Life Scale - If I could live my life over, I would change almost nothing.	SWLS - Live Life Over Change Nothing
Back to top
CL.C115407.SWLS TEST	QS-Satisfaction With Life Scale Questionnaire Test Name (SWLS TEST)	text Extensible: No	C115407	QS-Satisfaction With Life Scale Questionnaire Test Name	Satisfaction With Life Scale test name.	CDISC Questionnaire SWLS Test Name Terminology
	SWLS01-Have Gotten Important Things		C115898	SWLS01-Have Gotten Important Things	Satisfaction With Life Scale - So far I have gotten the important things I want in life.	SWLS - Have Gotten Important Things
	SWLS01-I Am Satisfied with My Life		C115897	SWLS01-I Am Satisfied with My Life	Satisfaction With Life Scale - I am satisfied with my life.	SWLS - Satisfied with My Life
	SWLS01-Live Life Over Change Nothing		C115899	SWLS01-Live Life Over Change Nothing	Satisfaction With Life Scale - If I could live my life over, I would change almost nothing.	SWLS - Live Life Over Change Nothing
	SWLS01-My Life Conditions are Excellent		C115896	SWLS01-My Life Conditions are Excellent	Satisfaction With Life Scale - The conditions of my life are excellent.	SWLS - Life Conditions are Excellent
	SWLS01-My Life is Close to Ideal		C115895	SWLS01-My Life is Close to Ideal	Satisfaction With Life Scale - In most ways my life is close to ideal.	SWLS - My Life is Close to Ideal
Back to top
CL.C100160.SOAPP-R TESTCD	QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code (SOAPP-R TESTCD)	text Extensible: No	C100160	QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code	Screener and Opioid Assessment for Patients with Pain - Revised test code.	CDISC Questionnaire SOAPP-R Test Code Terminology
	SOAPR101		C100870	SOAPR1-How Often Mood Swings	Screener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings?	SOAPP-R - How Often Mood Swings
	SOAPR102		C100871	SOAPR1-Need Higher Doses of Medication	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain?	SOAPP-R - Need Higher Doses of Medication
	SOAPR103		C100872	SOAPR1-Felt Impatient With Doctors	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors?	SOAPP-R - Felt Impatient With Doctors
	SOAPR104		C100873	SOAPR1-Felt That Things Are Overwhelming	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them?	SOAPP-R - Felt That Things Are Overwhelming
	SOAPR105		C100874	SOAPR1-How Often Tension at Home	Screener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home?	SOAPP-R - How Often Tension at Home
	SOAPR106		C100875	SOAPR1-How Often Counted Pain Pills	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining?	SOAPP-R - How Often Counted Pain Pills
	SOAPR107		C100876	SOAPR1-Concerned People Will Judge You	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication?	SOAPP-R - Concerned People Will Judge You
	SOAPR108		C100877	SOAPR1-How Often Feel Bored	Screener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored?	SOAPP-R - How Often Feel Bored
	SOAPR109		C100878	SOAPR1-How Often Taken More Pain Med	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to?	SOAPP-R - How Often Taken More Pain Medication
	SOAPR110		C100879	SOAPR1-Worried About Being Left Alone	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone?	SOAPP-R - Worried About Being Left Alone
	SOAPR111		C100880	SOAPR1-Felt Craving for Medication	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication?	SOAPP-R - Felt Craving for Medication
	SOAPR112		C100881	SOAPR1-Expressed Concern Over Med Use	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication?	SOAPP-R - Others Expressed Concern Over Medication Use
	SOAPR113		C100882	SOAPR1-How Often Friends Had Problem	Screener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs?	SOAPP-R - How Often Friends Had Problem
	SOAPR114		C100883	SOAPR1-Others Told You Bad Temper	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper?	SOAPP-R - Others Told You Bad Temper
	SOAPR115		C100884	SOAPR1-Felt Consumed to Get Pain Med	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication?	SOAPP-R - Felt Consumed to Get Pain Medication
	SOAPR116		C100885	SOAPR1-Run Out of Pain Med Early	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early?	SOAPP-R - Run Out of Pain Medication Early
	SOAPR117		C100886	SOAPR1-Kept From What You Deserve	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve?	SOAPP-R - Others Kept You From what You Deserve
	SOAPR118		C100887	SOAPR1-Legal Problems or Arrested	Screener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested?	SOAPP-R - Legal Problems or Arrested
	SOAPR119		C100888	SOAPR1-Attended AA or NA Meeting	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting?	SOAPP-R - Attended AA or NA Meeting
	SOAPR120		C100889	SOAPR1-Argument Someone Got Hurt	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt?	SOAPP-R - Argument Where Someone Got Hurt
	SOAPR121		C100890	SOAPR1-How Often Sexually Abused	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused?	SOAPP-R - How Often Sexually Abused
	SOAPR122		C100891	SOAPR1-Suggested Drug or Alcohol Problem	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem?	SOAPP-R - Others Suggested Drug or Alcohol Problem
	SOAPR123		C100892	SOAPR1-How Often Borrowed Pain Meds	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends?	SOAPP-R - How Often Borrowed Pain Medication
	SOAPR124		C100893	SOAPR1-Treated for Alcohol or Drug Prob	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem?	SOAPP-R - Treated for Alcohol or Drug Problem
	SOAPR125		C100894	SOAPR1-Any Additional Information	Screener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers.	SOAPP-R - Any Additional Information
	SOAPR126		C100895	SOAPR1-Score	Screener and Opioid Assessment for Patients with Pain - Revised - Score.	SOAPP-R - Score
Back to top
CL.C100159.SOAPP-R TEST	QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name (SOAPP-R TEST)	text Extensible: No	C100159	QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name	Screener and Opioid Assessment for Patients with Pain - Revised test name.	CDISC Questionnaire SOAPP-R Test Name Terminology
	SOAPR1-Any Additional Information		C100894	SOAPR1-Any Additional Information	Screener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers.	SOAPP-R - Any Additional Information
	SOAPR1-Argument Someone Got Hurt		C100889	SOAPR1-Argument Someone Got Hurt	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt?	SOAPP-R - Argument Where Someone Got Hurt
	SOAPR1-Attended AA or NA Meeting		C100888	SOAPR1-Attended AA or NA Meeting	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting?	SOAPP-R - Attended AA or NA Meeting
	SOAPR1-Concerned People Will Judge You		C100876	SOAPR1-Concerned People Will Judge You	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication?	SOAPP-R - Concerned People Will Judge You
	SOAPR1-Expressed Concern Over Med Use		C100881	SOAPR1-Expressed Concern Over Med Use	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication?	SOAPP-R - Others Expressed Concern Over Medication Use
	SOAPR1-Felt Consumed to Get Pain Med		C100884	SOAPR1-Felt Consumed to Get Pain Med	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication?	SOAPP-R - Felt Consumed to Get Pain Medication
	SOAPR1-Felt Craving for Medication		C100880	SOAPR1-Felt Craving for Medication	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication?	SOAPP-R - Felt Craving for Medication
	SOAPR1-Felt Impatient With Doctors		C100872	SOAPR1-Felt Impatient With Doctors	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors?	SOAPP-R - Felt Impatient With Doctors
	SOAPR1-Felt That Things Are Overwhelming		C100873	SOAPR1-Felt That Things Are Overwhelming	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them?	SOAPP-R - Felt That Things Are Overwhelming
	SOAPR1-How Often Borrowed Pain Meds		C100892	SOAPR1-How Often Borrowed Pain Meds	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends?	SOAPP-R - How Often Borrowed Pain Medication
	SOAPR1-How Often Counted Pain Pills		C100875	SOAPR1-How Often Counted Pain Pills	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining?	SOAPP-R - How Often Counted Pain Pills
	SOAPR1-How Often Feel Bored		C100877	SOAPR1-How Often Feel Bored	Screener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored?	SOAPP-R - How Often Feel Bored
	SOAPR1-How Often Friends Had Problem		C100882	SOAPR1-How Often Friends Had Problem	Screener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs?	SOAPP-R - How Often Friends Had Problem
	SOAPR1-How Often Mood Swings		C100870	SOAPR1-How Often Mood Swings	Screener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings?	SOAPP-R - How Often Mood Swings
	SOAPR1-How Often Sexually Abused		C100890	SOAPR1-How Often Sexually Abused	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused?	SOAPP-R - How Often Sexually Abused
	SOAPR1-How Often Taken More Pain Med		C100878	SOAPR1-How Often Taken More Pain Med	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to?	SOAPP-R - How Often Taken More Pain Medication
	SOAPR1-How Often Tension at Home		C100874	SOAPR1-How Often Tension at Home	Screener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home?	SOAPP-R - How Often Tension at Home
	SOAPR1-Kept From What You Deserve		C100886	SOAPR1-Kept From What You Deserve	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve?	SOAPP-R - Others Kept You From what You Deserve
	SOAPR1-Legal Problems or Arrested		C100887	SOAPR1-Legal Problems or Arrested	Screener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested?	SOAPP-R - Legal Problems or Arrested
	SOAPR1-Need Higher Doses of Medication		C100871	SOAPR1-Need Higher Doses of Medication	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain?	SOAPP-R - Need Higher Doses of Medication
	SOAPR1-Others Told You Bad Temper		C100883	SOAPR1-Others Told You Bad Temper	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper?	SOAPP-R - Others Told You Bad Temper
	SOAPR1-Run Out of Pain Med Early		C100885	SOAPR1-Run Out of Pain Med Early	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early?	SOAPP-R - Run Out of Pain Medication Early
	SOAPR1-Score		C100895	SOAPR1-Score	Screener and Opioid Assessment for Patients with Pain - Revised - Score.	SOAPP-R - Score
	SOAPR1-Suggested Drug or Alcohol Problem		C100891	SOAPR1-Suggested Drug or Alcohol Problem	Screener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem?	SOAPP-R - Others Suggested Drug or Alcohol Problem
	SOAPR1-Treated for Alcohol or Drug Prob		C100893	SOAPR1-Treated for Alcohol or Drug Prob	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem?	SOAPP-R - Treated for Alcohol or Drug Problem
	SOAPR1-Worried About Being Left Alone		C100879	SOAPR1-Worried About Being Left Alone	Screener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone?	SOAPP-R - Worried About Being Left Alone
Back to top
CL.C111350.SDS TESTCD	QS-Sheehan Disability Scale Questionnaire Test Code (SDS TESTCD)	text Extensible: No	C111350	QS-Sheehan Disability Scale Questionnaire Test Code	Sheehan Disability Scale test code.	CDISC Questionnaire SDS Test Code Terminology
	SDS0101		C111521	SDS01-Work/School	Sheehan Disability Scale - The symptoms have disrupted your work/school work.	SDS - Symptoms Disrupted Work/School Work
	SDS0101A		C111522	SDS01-No Work/Study - Unrelated Disorder	Sheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder.	SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder
	SDS0102		C111523	SDS01-Social Life	Sheehan Disability Scale - The symptoms have disrupted your social life/leisure activities.	SDS - Symptoms Disrupted Social Life/Leisure Activities
	SDS0103		C111524	SDS01-Family Life/Home Responsibilities	Sheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities.	SDS - Symptoms Disrupted Family Life/Home Responsibilities
	SDS0104		C111525	SDS01-Days Lost	Sheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities?	SDS - Days Lost
	SDS0105		C111526	SDS01-Days Unproductive	Sheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced?	SDS - Days Unproductive
Back to top
CL.C111349.SDS TEST	QS-Sheehan Disability Scale Questionnaire Test Name (SDS TEST)	text Extensible: No	C111349	QS-Sheehan Disability Scale Questionnaire Test Name	Sheehan Disability Scale test name.	CDISC Questionnaire SDS Test Name Terminology
	SDS01-Days Lost		C111525	SDS01-Days Lost	Sheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities?	SDS - Days Lost
	SDS01-Days Unproductive		C111526	SDS01-Days Unproductive	Sheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced?	SDS - Days Unproductive
	SDS01-Family Life/Home Responsibilities		C111524	SDS01-Family Life/Home Responsibilities	Sheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities.	SDS - Symptoms Disrupted Family Life/Home Responsibilities
	SDS01-No Work/Study - Unrelated Disorder		C111522	SDS01-No Work/Study - Unrelated Disorder	Sheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder.	SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder
	SDS01-Social Life		C111523	SDS01-Social Life	Sheehan Disability Scale - The symptoms have disrupted your social life/leisure activities.	SDS - Symptoms Disrupted Social Life/Leisure Activities
	SDS01-Work/School		C111521	SDS01-Work/School	Sheehan Disability Scale - The symptoms have disrupted your work/school work.	SDS - Symptoms Disrupted Work/School Work
Back to top
CL.C100156.Short-Form MPQ-2 TESTCD	QS-Short-Form McGill Pain Questionnaire-2 Test Code (Short-Form MPQ-2 TESTCD)	text Extensible: No	C100156	QS-Short-Form McGill Pain Questionnaire-2 Test Code	Short-Form McGill Pain Questionnaire-2 test code.	CDISC Questionnaire Short-Form MPQ-2 Test Code Terminology
	SFMP201		C100849	SFMP2-Throbbing Pain	Short-Form McGill Pain Questionnaire-2 - Throbbing pain.	SF-MPQ-2 - Throbbing Pain
	SFMP202		C100850	SFMP2-Shooting Pain	Short-Form McGill Pain Questionnaire-2 - Shooting pain.	SF-MPQ-2 - Shooting Pain
	SFMP203		C100851	SFMP2-Stabbing Pain	Short-Form McGill Pain Questionnaire-2 - Stabbing pain.	SF-MPQ-2 - Stabbing Pain
	SFMP204		C100852	SFMP2-Sharp Pain	Short-Form McGill Pain Questionnaire-2 - Sharp pain.	SF-MPQ-2 - Sharp Pain
	SFMP205		C100853	SFMP2-Cramping Pain	Short-Form McGill Pain Questionnaire-2 - Cramping pain.	SF-MPQ-2 - Cramping Pain
	SFMP206		C100854	SFMP2-Gnawing Pain	Short-Form McGill Pain Questionnaire-2 - Gnawing pain.	SF-MPQ-2 - Gnawing Pain
	SFMP207		C100855	SFMP2-Hot-burning Pain	Short-Form McGill Pain Questionnaire-2 - Hot-burning pain.	SF-MPQ-2 - Hot-burning Pain
	SFMP208		C100856	SFMP2-Aching Pain	Short-Form McGill Pain Questionnaire-2 - Aching pain.	SF-MPQ-2 - Aching Pain
	SFMP209		C100857	SFMP2-Heavy Pain	Short-Form McGill Pain Questionnaire-2 - Heavy pain.	SF-MPQ-2 - Heavy Pain
	SFMP210		C100858	SFMP2-Tender	Short-Form McGill Pain Questionnaire-2 - Tender.	SF-MPQ-2 - Tender
	SFMP211		C100859	SFMP2-Splitting Pain	Short-Form McGill Pain Questionnaire-2 - Splitting pain.	SF-MPQ-2 - Splitting Pain
	SFMP212		C100860	SFMP2-Tiring-Exhausting	Short-Form McGill Pain Questionnaire-2 - Tiring-exhausting.	SF-MPQ-2 - Tiring-Exhausting
	SFMP213		C100861	SFMP2-Sickening	Short-Form McGill Pain Questionnaire-2 - Sickening.	SF-MPQ-2 - Sickening
	SFMP214		C100862	SFMP2-Fearful	Short-Form McGill Pain Questionnaire-2 - Fearful.	SF-MPQ-2 - Fearful
	SFMP215		C100863	SFMP2-Punishing-Cruel	Short-Form McGill Pain Questionnaire-2 - Punishing-cruel.	SF-MPQ-2 - Punishing-Cruel
	SFMP216		C100864	SFMP2-Electric-Shock Pain	Short-Form McGill Pain Questionnaire-2 - Electric-shock pain.	SF-MPQ-2 - Electric-Shock Pain
	SFMP217		C100865	SFMP2-Cold-Freezing Pain	Short-Form McGill Pain Questionnaire-2 - Cold-freezing pain.	SF-MPQ-2 - Cold-Freezing Pain
	SFMP218		C100866	SFMP2-Piercing	Short-Form McGill Pain Questionnaire-2 - Piercing.	SF-MPQ-2 - Piercing
	SFMP219		C100867	SFMP2-Pain Caused by Light Touch	Short-Form McGill Pain Questionnaire-2 - Pain caused by light touch.	SF-MPQ-2 - Pain Caused by Light Touch
	SFMP220		C100868	SFMP2-Itching	Short-Form McGill Pain Questionnaire-2 - Itching.	SF-MPQ-2 - Itching
	SFMP221		C101021	SFMP2-Tingling or 'Pins and Needles'	Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'.	SF-MPQ-2 - Tingling or 'Pins and Needles'
	SFMP222		C100869	SFMP2-Numbness	Short-Form McGill Pain Questionnaire-2 - Numbness.	SF-MPQ-2 - Numbness
Back to top
CL.C100155.Short-Form MPQ-2 TEST	QS-Short-Form McGill Pain Questionnaire-2 Test Name (Short-Form MPQ-2 TEST)	text Extensible: No	C100155	QS-Short-Form McGill Pain Questionnaire-2 Test Name	Short-Form McGill Pain Questionnaire-2 test name.	CDISC Questionnaire Short-Form MPQ-2 Test Name Terminology
	SFMP2-Aching Pain		C100856	SFMP2-Aching Pain	Short-Form McGill Pain Questionnaire-2 - Aching pain.	SF-MPQ-2 - Aching Pain
	SFMP2-Cold-Freezing Pain		C100865	SFMP2-Cold-Freezing Pain	Short-Form McGill Pain Questionnaire-2 - Cold-freezing pain.	SF-MPQ-2 - Cold-Freezing Pain
	SFMP2-Cramping Pain		C100853	SFMP2-Cramping Pain	Short-Form McGill Pain Questionnaire-2 - Cramping pain.	SF-MPQ-2 - Cramping Pain
	SFMP2-Electric-Shock Pain		C100864	SFMP2-Electric-Shock Pain	Short-Form McGill Pain Questionnaire-2 - Electric-shock pain.	SF-MPQ-2 - Electric-Shock Pain
	SFMP2-Fearful		C100862	SFMP2-Fearful	Short-Form McGill Pain Questionnaire-2 - Fearful.	SF-MPQ-2 - Fearful
	SFMP2-Gnawing Pain		C100854	SFMP2-Gnawing Pain	Short-Form McGill Pain Questionnaire-2 - Gnawing pain.	SF-MPQ-2 - Gnawing Pain
	SFMP2-Heavy Pain		C100857	SFMP2-Heavy Pain	Short-Form McGill Pain Questionnaire-2 - Heavy pain.	SF-MPQ-2 - Heavy Pain
	SFMP2-Hot-burning Pain		C100855	SFMP2-Hot-burning Pain	Short-Form McGill Pain Questionnaire-2 - Hot-burning pain.	SF-MPQ-2 - Hot-burning Pain
	SFMP2-Itching		C100868	SFMP2-Itching	Short-Form McGill Pain Questionnaire-2 - Itching.	SF-MPQ-2 - Itching
	SFMP2-Numbness		C100869	SFMP2-Numbness	Short-Form McGill Pain Questionnaire-2 - Numbness.	SF-MPQ-2 - Numbness
	SFMP2-Pain Caused by Light Touch		C100867	SFMP2-Pain Caused by Light Touch	Short-Form McGill Pain Questionnaire-2 - Pain caused by light touch.	SF-MPQ-2 - Pain Caused by Light Touch
	SFMP2-Piercing		C100866	SFMP2-Piercing	Short-Form McGill Pain Questionnaire-2 - Piercing.	SF-MPQ-2 - Piercing
	SFMP2-Punishing-Cruel		C100863	SFMP2-Punishing-Cruel	Short-Form McGill Pain Questionnaire-2 - Punishing-cruel.	SF-MPQ-2 - Punishing-Cruel
	SFMP2-Sharp Pain		C100852	SFMP2-Sharp Pain	Short-Form McGill Pain Questionnaire-2 - Sharp pain.	SF-MPQ-2 - Sharp Pain
	SFMP2-Shooting Pain		C100850	SFMP2-Shooting Pain	Short-Form McGill Pain Questionnaire-2 - Shooting pain.	SF-MPQ-2 - Shooting Pain
	SFMP2-Sickening		C100861	SFMP2-Sickening	Short-Form McGill Pain Questionnaire-2 - Sickening.	SF-MPQ-2 - Sickening
	SFMP2-Splitting Pain		C100859	SFMP2-Splitting Pain	Short-Form McGill Pain Questionnaire-2 - Splitting pain.	SF-MPQ-2 - Splitting Pain
	SFMP2-Stabbing Pain		C100851	SFMP2-Stabbing Pain	Short-Form McGill Pain Questionnaire-2 - Stabbing pain.	SF-MPQ-2 - Stabbing Pain
	SFMP2-Tender		C100858	SFMP2-Tender	Short-Form McGill Pain Questionnaire-2 - Tender.	SF-MPQ-2 - Tender
	SFMP2-Throbbing Pain		C100849	SFMP2-Throbbing Pain	Short-Form McGill Pain Questionnaire-2 - Throbbing pain.	SF-MPQ-2 - Throbbing Pain
	SFMP2-Tingling or 'Pins and Needles'		C101021	SFMP2-Tingling or 'Pins and Needles'	Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'.	SF-MPQ-2 - Tingling or 'Pins and Needles'
	SFMP2-Tiring-Exhausting		C100860	SFMP2-Tiring-Exhausting	Short-Form McGill Pain Questionnaire-2 - Tiring-exhausting.	SF-MPQ-2 - Tiring-Exhausting
Back to top
CL.C106671.SGRQ-C TESTCD	QS-St. George's Respiratory Questionnaire for COPD Patients Test Code (SGRQ-C TESTCD)	text Extensible: No	C106671	QS-St. George's Respiratory Questionnaire for COPD Patients Test Code	St. George's Respiratory Questionnaire for COPD Patients test code.	CDISC Questionnaire SGRQ-C Test Code Terminology
	SGRQC101		C106853	SGRQC1-Describe Your Current Health	St. George's Respiratory Questionnaire - Please check one box to show how you describe your current health.	SGRQ-C - Description of Your Current Health
	SGRQC102		C106854	SGRQC1-I Cough	St. George's Respiratory Questionnaire - I cough.	SGRQ-C - Cough
	SGRQC103		C106855	SGRQC1-I Bring Up Phlegm	St. George's Respiratory Questionnaire - I bring up phlegm (sputum).	SGRQ-C - Bring Up Phlegm
	SGRQC104		C106856	SGRQC1-I Have Shortness of Breath	St. George's Respiratory Questionnaire - I have shortness of breath.	SGRQ-C - Have Shortness of Breath
	SGRQC105		C106857	SGRQC1-I Have Attacks of Wheezing	St. George's Respiratory Questionnaire - I have attacks of wheezing.	SGRQ-C - Have Attacks of Wheezing
	SGRQC106		C106858	SGRQC1-How Many Respiratory Attacks	St. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year?	SGRQ-C - Number of Respiratory Attacks Last Year
	SGRQC107		C106859	SGRQC1-How Often Do You Have Good Days	St. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)?	SGRQ-C - Good Days with Few Respiratory Problems
	SGRQC108		C106860	SGRQC1-Wheeze Worse in the Morning	St. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning?	SGRQ-C - Wheezing Worse In the Morning
	SGRQC109		C106861	SGRQC1-Describe Your Resp Problems	St. George's Respiratory Questionnaire - How would you describe your respiratory problems?	SGRQ-C - Description of Your Respiratory Problems
	SGRQC110		C106862	SGRQC1-Washing or Dressing Yourself	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself.	SGRQ-C - Feel Breathless Washing or Dressing Yourself
	SGRQC111		C106863	SGRQC1-Walking Around the House	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house.	SGRQ-C - Feel Breathless Walking Around the House
	SGRQC112		C106864	SGRQC1-Walking Outside on Level Ground	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground.	SGRQ-C - Feel Breathless Walking Outside on Level Ground
	SGRQC113		C106865	SGRQC1-Walking Up a Flight of Stairs	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs.	SGRQ-C - Feel Breathless Walking Up a Flight of Stairs
	SGRQC114		C106866	SGRQC1-Walking Up Hills	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills.	SGRQ-C - Feel Breathless Walking Up Hills
	SGRQC115		C106867	SGRQC1-Coughing Hurts	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts.	SGRQ-C - Coughing Hurts
	SGRQC116		C106868	SGRQC1-Coughing Makes Me Tired	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired.	SGRQ-C - Coughing Makes Me Tired
	SGRQC117		C106869	SGRQC1-Short of Breath When Talk	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk.	SGRQ-C - Short of Breath When Talk
	SGRQC118		C106870	SGRQC1-Short of Breath When Bend Over	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over.	SGRQ-C - Short of Breath When Bend Over
	SGRQC119		C106871	SGRQC1-Coughing Disturbs My Sleep	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep.	SGRQ-C - Coughing Disturbs My Sleep
	SGRQC120		C106872	SGRQC1-Get Exhausted Easily	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily.	SGRQ-C - Get Exhausted Easily
	SGRQC121		C106873	SGRQC1-Cough Is Embarrassing in Public	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public.	SGRQ-C - Cough Is Embarrassing in Public
	SGRQC122		C107021	SGRQC1-Respiratory Problems a Nuisance	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours.	SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours
	SGRQC123		C106874	SGRQC1-Afraid When Cannot Catch Breath	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath.	SGRQ-C - Afraid or Panic When Cannot Catch Breath
	SGRQC124		C106875	SGRQC1-Not in Control of Resp Problems	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems.	SGRQ-C - Not in Control of Respiratory Problems
	SGRQC125		C106876	SGRQC1-Frail Because of Resp Problems	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems.	SGRQ-C - Become Frail Because of Respiratory Problems
	SGRQC126		C106877	SGRQC1-Exercise Is Not Safe for Me	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me.	SGRQ-C - Exercise Is Not Safe for Me
	SGRQC127		C106878	SGRQC1-Everything Too Much Effort	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort.	SGRQ-C - Everything Seems Too Much Effort
	SGRQC128		C106879	SGRQC1-Take a Long Time to Get Washed	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.	SGRQ-C - Take a Long Time to Get Washed or Dressed
	SGRQC129		C106880	SGRQC1-Cannot Take a Bath or Shower	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.	SGRQ-C - Cannot Take a Bath or Shower
	SGRQC130		C106881	SGRQC1-Walk Slow Than Others My Age	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.	SGRQ-C - Walk Slower Than Other People My Age
	SGRQC131		C106882	SGRQC1-Jobs Take a Long Time	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.	SGRQ-C - Jobs Take a Long Time
	SGRQC132		C106883	SGRQC1-Walk Up Flight of Stairs Slowly	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.	SGRQ-C - Walk Up Flight of Stairs Slowly
	SGRQC133		C106884	SGRQC1-If I Hurry, I Have to Stop	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.	SGRQ-C - If Walk Fast Have to Stop
	SGRQC134		C106885	SGRQC1-Difficult to Walk Up Hills	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.	SGRQ-C - Difficult to Walk Up Hills
	SGRQC135		C106886	SGRQC1-Difficult to Carry Heavy Loads	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.	SGRQ-C - Difficult to Carry Heavy Loads
	SGRQC136		C107022	SGRQC1-Cannot Play Sports	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports
	SGRQC137		C107023	SGRQC1-Cannot Go Out for Entertainment	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment
	SGRQC138		C107024	SGRQC1-Cannot Go Out to Do Shopping	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping
	SGRQC139		C107025	SGRQC1-Cannot Do Household Chores	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores
	SGRQC140		C107026	SGRQC1-Cannot Move Far From My Bed	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed
	SGRQC141		C106887	SGRQC1-How Resp Problems Affect You	St. George's Respiratory Questionnaire - How do your respiratory problems affect you?	SGRQ-C - How Respiratory Problems Affect You
Back to top
CL.C106670.SGRQ-C TEST	QS-St. George's Respiratory Questionnaire for COPD Patients Test Name (SGRQ-C TEST)	text Extensible: No	C106670	QS-St. George's Respiratory Questionnaire for COPD Patients Test Name	St. George's Respiratory Questionnaire for COPD Patients test name.	CDISC Questionnaire SGRQ-C Test Name Terminology
	SGRQC1-Afraid When Cannot Catch Breath		C106874	SGRQC1-Afraid When Cannot Catch Breath	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath.	SGRQ-C - Afraid or Panic When Cannot Catch Breath
	SGRQC1-Cannot Do Household Chores		C107025	SGRQC1-Cannot Do Household Chores	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores
	SGRQC1-Cannot Go Out for Entertainment		C107023	SGRQC1-Cannot Go Out for Entertainment	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment
	SGRQC1-Cannot Go Out to Do Shopping		C107024	SGRQC1-Cannot Go Out to Do Shopping	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping
	SGRQC1-Cannot Move Far From My Bed		C107026	SGRQC1-Cannot Move Far From My Bed	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed
	SGRQC1-Cannot Play Sports		C107022	SGRQC1-Cannot Play Sports	St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.	SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports
	SGRQC1-Cannot Take a Bath or Shower		C106880	SGRQC1-Cannot Take a Bath or Shower	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.	SGRQ-C - Cannot Take a Bath or Shower
	SGRQC1-Cough Is Embarrassing in Public		C106873	SGRQC1-Cough Is Embarrassing in Public	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public.	SGRQ-C - Cough Is Embarrassing in Public
	SGRQC1-Coughing Disturbs My Sleep		C106871	SGRQC1-Coughing Disturbs My Sleep	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep.	SGRQ-C - Coughing Disturbs My Sleep
	SGRQC1-Coughing Hurts		C106867	SGRQC1-Coughing Hurts	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts.	SGRQ-C - Coughing Hurts
	SGRQC1-Coughing Makes Me Tired		C106868	SGRQC1-Coughing Makes Me Tired	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired.	SGRQ-C - Coughing Makes Me Tired
	SGRQC1-Describe Your Current Health		C106853	SGRQC1-Describe Your Current Health	St. George's Respiratory Questionnaire - Please check one box to show how you describe your current health.	SGRQ-C - Description of Your Current Health
	SGRQC1-Describe Your Resp Problems		C106861	SGRQC1-Describe Your Resp Problems	St. George's Respiratory Questionnaire - How would you describe your respiratory problems?	SGRQ-C - Description of Your Respiratory Problems
	SGRQC1-Difficult to Carry Heavy Loads		C106886	SGRQC1-Difficult to Carry Heavy Loads	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.	SGRQ-C - Difficult to Carry Heavy Loads
	SGRQC1-Difficult to Walk Up Hills		C106885	SGRQC1-Difficult to Walk Up Hills	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.	SGRQ-C - Difficult to Walk Up Hills
	SGRQC1-Everything Too Much Effort		C106878	SGRQC1-Everything Too Much Effort	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort.	SGRQ-C - Everything Seems Too Much Effort
	SGRQC1-Exercise Is Not Safe for Me		C106877	SGRQC1-Exercise Is Not Safe for Me	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me.	SGRQ-C - Exercise Is Not Safe for Me
	SGRQC1-Frail Because of Resp Problems		C106876	SGRQC1-Frail Because of Resp Problems	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems.	SGRQ-C - Become Frail Because of Respiratory Problems
	SGRQC1-Get Exhausted Easily		C106872	SGRQC1-Get Exhausted Easily	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily.	SGRQ-C - Get Exhausted Easily
	SGRQC1-How Many Respiratory Attacks		C106858	SGRQC1-How Many Respiratory Attacks	St. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year?	SGRQ-C - Number of Respiratory Attacks Last Year
	SGRQC1-How Often Do You Have Good Days		C106859	SGRQC1-How Often Do You Have Good Days	St. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)?	SGRQ-C - Good Days with Few Respiratory Problems
	SGRQC1-How Resp Problems Affect You		C106887	SGRQC1-How Resp Problems Affect You	St. George's Respiratory Questionnaire - How do your respiratory problems affect you?	SGRQ-C - How Respiratory Problems Affect You
	SGRQC1-I Bring Up Phlegm		C106855	SGRQC1-I Bring Up Phlegm	St. George's Respiratory Questionnaire - I bring up phlegm (sputum).	SGRQ-C - Bring Up Phlegm
	SGRQC1-I Cough		C106854	SGRQC1-I Cough	St. George's Respiratory Questionnaire - I cough.	SGRQ-C - Cough
	SGRQC1-I Have Attacks of Wheezing		C106857	SGRQC1-I Have Attacks of Wheezing	St. George's Respiratory Questionnaire - I have attacks of wheezing.	SGRQ-C - Have Attacks of Wheezing
	SGRQC1-I Have Shortness of Breath		C106856	SGRQC1-I Have Shortness of Breath	St. George's Respiratory Questionnaire - I have shortness of breath.	SGRQ-C - Have Shortness of Breath
	SGRQC1-If I Hurry, I Have to Stop		C106884	SGRQC1-If I Hurry, I Have to Stop	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.	SGRQ-C - If Walk Fast Have to Stop
	SGRQC1-Jobs Take a Long Time		C106882	SGRQC1-Jobs Take a Long Time	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.	SGRQ-C - Jobs Take a Long Time
	SGRQC1-Not in Control of Resp Problems		C106875	SGRQC1-Not in Control of Resp Problems	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems.	SGRQ-C - Not in Control of Respiratory Problems
	SGRQC1-Respiratory Problems a Nuisance		C107021	SGRQC1-Respiratory Problems a Nuisance	St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours.	SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours
	SGRQC1-Short of Breath When Bend Over		C106870	SGRQC1-Short of Breath When Bend Over	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over.	SGRQ-C - Short of Breath When Bend Over
	SGRQC1-Short of Breath When Talk		C106869	SGRQC1-Short of Breath When Talk	St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk.	SGRQ-C - Short of Breath When Talk
	SGRQC1-Take a Long Time to Get Washed		C106879	SGRQC1-Take a Long Time to Get Washed	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.	SGRQ-C - Take a Long Time to Get Washed or Dressed
	SGRQC1-Walk Slow Than Others My Age		C106881	SGRQC1-Walk Slow Than Others My Age	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.	SGRQ-C - Walk Slower Than Other People My Age
	SGRQC1-Walk Up Flight of Stairs Slowly		C106883	SGRQC1-Walk Up Flight of Stairs Slowly	St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.	SGRQ-C - Walk Up Flight of Stairs Slowly
	SGRQC1-Walking Around the House		C106863	SGRQC1-Walking Around the House	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house.	SGRQ-C - Feel Breathless Walking Around the House
	SGRQC1-Walking Outside on Level Ground		C106864	SGRQC1-Walking Outside on Level Ground	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground.	SGRQ-C - Feel Breathless Walking Outside on Level Ground
	SGRQC1-Walking Up a Flight of Stairs		C106865	SGRQC1-Walking Up a Flight of Stairs	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs.	SGRQ-C - Feel Breathless Walking Up a Flight of Stairs
	SGRQC1-Walking Up Hills		C106866	SGRQC1-Walking Up Hills	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills.	SGRQ-C - Feel Breathless Walking Up Hills
	SGRQC1-Washing or Dressing Yourself		C106862	SGRQC1-Washing or Dressing Yourself	St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself.	SGRQ-C - Feel Breathless Washing or Dressing Yourself
	SGRQC1-Wheeze Worse in the Morning		C106860	SGRQC1-Wheeze Worse in the Morning	St. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning?	SGRQ-C - Wheezing Worse In the Morning
Back to top
CL.C112449.SGRQ Past 3 Months Version TESTCD	QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code (SGRQ Past 3 Months Version TESTCD)	text Extensible: No	C112449	QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code	St. George's Respiratory Questionnaire Past 3 Months Version test code.	CDISC Questionnaire SGRQ Past 3 Months Version Test Code Terminology
	SGRQ0101		C112627	SGRQ01-Describe Your Current Health	St. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health.	SGRQ Past 3 Months Version - Describe Your Current Health
	SGRQ0102		C112628	SGRQ01-I Have Coughed	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed.	SGRQ Past 3 Months Version - I Have Coughed
	SGRQ0103		C112629	SGRQ01-I Have Brought Up Phlegm	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum).	SGRQ Past 3 Months Version - I Have Brought Up Phlegm
	SGRQ0104		C112630	SGRQ01-I Have Had Shortness of Breath	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath.	SGRQ Past 3 Months Version - I Have Had Shortness of Breath
	SGRQ0105		C112631	SGRQ01-I Have Had Wheezing Attacks	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks.	SGRQ Past 3 Months Version - I Have Had Wheezing Attacks
	SGRQ0106		C112632	SGRQ01-Times Suffered Sev Resp Attacks	St. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks?	SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks
	SGRQ0107		C112633	SGRQ01-How Long Worst Resp Attack Last	St. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last?	SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last
	SGRQ0108		C112634	SGRQ01-How Many Good Days Have You Had	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had?	SGRQ Past 3 Months Version - How Many Good Days You Had
	SGRQ0109		C112635	SGRQ01-Wheeze Worse in the Morning	St. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning?	SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning
	SGRQ0110		C112636	SGRQ01-Describe Your Resp Condition	St. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition?	SGRQ Past 3 Months Version - Describe Your Respiratory Condition
	SGRQ0111		C112637	SGRQ01-If You Have Ever Held a job	St. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job.	SGRQ Past 3 Months Version - Held a Job
	SGRQ0112		C112638	SGRQ01-Sitting or Lying Still	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.	SGRQ Past 3 Months Version - Sitting or Lying Still
	SGRQ0113		C112639	SGRQ01-Washing or Dressing Yourself	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.	SGRQ Past 3 Months Version - Washing or Dressing Yourself
	SGRQ0114		C112640	SGRQ01-Walking Around the House	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.	SGRQ Past 3 Months Version - Walking Around the House
	SGRQ0115		C112641	SGRQ01-Walking Outside on Level Ground	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.	SGRQ Past 3 Months Version - Walking Outside on Level Ground
	SGRQ0116		C112642	SGRQ01-Walking Up a Flight of Stairs	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.	SGRQ Past 3 Months Version - Walking Up a Flight of Stairs
	SGRQ0117		C112643	SGRQ01-Walking Up Hills	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.	SGRQ Past 3 Months Version - Walking Up Hills
	SGRQ0118		C112644	SGRQ01-Playing Sports	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.	SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities
	SGRQ0119		C112645	SGRQ01-Coughing Hurts	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.	SGRQ Past 3 Months Version - Coughing Hurts
	SGRQ0120		C112646	SGRQ01-Coughing Makes Me Tired	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.	SGRQ Past 3 Months Version - Coughing Makes Me Tired
	SGRQ0121		C112647	SGRQ01-Short of Breath When I Talk	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.	SGRQ Past 3 Months Version - Short of Breath When I Talk
	SGRQ0122		C112648	SGRQ01-Short of Breath When Bend Over	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.	SGRQ Past 3 Months Version - Short of Breath When Bend Over
	SGRQ0123		C112649	SGRQ01-Coughing Disturbs My Sleep	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.	SGRQ Past 3 Months Version - Coughing Disturbs My Sleep
	SGRQ0124		C112650	SGRQ01-I Get Exhausted Easily	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.	SGRQ Past 3 Months Version - I Get Exhausted Easily
	SGRQ0125		C112651	SGRQ01-Cough Is Embarrassing in Public	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.	SGRQ Past 3 Months Version - My Cough is Embarrassing in Public
	SGRQ0126		C112652	SGRQ01-Respiratory Problems a Nuisance	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.	SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family
	SGRQ0127		C112653	SGRQ01-Afraid When Cannot Catch Breath	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.	SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath
	SGRQ0128		C112654	SGRQ01-Not in Control of Resp Problems	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.	SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems
	SGRQ0129		C112655	SGRQ01-Not Expect Probs to Get Better	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.	SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better
	SGRQ0130		C112656	SGRQ01-I Have Become Frail	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.	SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems
	SGRQ0131		C112657	SGRQ01-Exercise Is Not Safe for Me	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.	SGRQ Past 3 Months Version - Exercise Is Not Safe for Me
	SGRQ0132		C112658	SGRQ01-Everything Too Much Effort	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.	SGRQ Past 3 Months Version - Everything Too Much Effort
	SGRQ0133		C112659	SGRQ01-Treatment Does Not Help Me Much	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much.	SGRQ Past 3 Months Version - Treatment Does Not Help Me Much
	SGRQ0134		C112660	SGRQ01-Embarrassed Using Med in Public	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.	SGRQ Past 3 Months Version - Embarrassed Using Medication in Public
	SGRQ0135		C112661	SGRQ01-Unpleasant Side Effect From Med	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.	SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication
	SGRQ0136		C112662	SGRQ01-Treatment Interferes With Life	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.	SGRQ Past 3 Months Version - Treatment Interferes With My Life
	SGRQ0137		C112663	SGRQ01-Take a Long Time to Get Washed	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.	SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed
	SGRQ0138		C112664	SGRQ01-I Cannot Take a Bath or Shower	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.	SGRQ Past 3 Months Version - Cannot Take a Bath or Shower
	SGRQ0139		C112665	SGRQ01-I Walk Slower Than Other People	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.	SGRQ Past 3 Months Version - Walk Slower Than Other People My Age
	SGRQ0140		C112666	SGRQ01-Jobs Take a Long Time	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.	SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop
	SGRQ0141		C112667	SGRQ01-Walk Up Flight of Stairs Slowly	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.	SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow
	SGRQ0142		C112668	SGRQ01-If I Hurry, I Have to Stop	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.	SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down
	SGRQ0143		C112669	SGRQ01-Difficult to Walk Up Hills	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.	SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills
	SGRQ0144		C112670	SGRQ01-Difficult to Carry Heavy Loads	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.	SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads
	SGRQ0145		C112671	SGRQ01-Difficult to Do Very Heavy Work	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.	SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work
	SGRQ0146		C112672	SGRQ01-I Cannot Play Sports	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.	SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities
	SGRQ0147		C112673	SGRQ01-Cannot Go Out for Entertainment	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.	SGRQ Past 3 Months Version - Cannot Go Out for Entertainment
	SGRQ0148		C112674	SGRQ01-Cannot Go Out to Do Shopping	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.	SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping
	SGRQ0149		C112675	SGRQ01-I Cannot Do Household Chores	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.	SGRQ Past 3 Months Version - Cannot Do Household Chores
	SGRQ0150		C112676	SGRQ01-I Cannot Move Far From My Bed	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.	SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair
	SGRQ0151		C112677	SGRQ01-How Resp Problems Affect You	St. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you.	SGRQ Past 3 Months Version - How Respiratory Problems Affect You
Back to top
CL.C112448.SGRQ Past 3 Months Version TEST	QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name (SGRQ Past 3 Months Version TEST)	text Extensible: No	C112448	QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name	St. George's Respiratory Questionnaire Past 3 Months Version test name.	CDISC Questionnaire SGRQ Past 3 Months Version Test Name Terminology
	SGRQ01-Afraid When Cannot Catch Breath		C112653	SGRQ01-Afraid When Cannot Catch Breath	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.	SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath
	SGRQ01-Cannot Go Out for Entertainment		C112673	SGRQ01-Cannot Go Out for Entertainment	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.	SGRQ Past 3 Months Version - Cannot Go Out for Entertainment
	SGRQ01-Cannot Go Out to Do Shopping		C112674	SGRQ01-Cannot Go Out to Do Shopping	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.	SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping
	SGRQ01-Cough Is Embarrassing in Public		C112651	SGRQ01-Cough Is Embarrassing in Public	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.	SGRQ Past 3 Months Version - My Cough is Embarrassing in Public
	SGRQ01-Coughing Disturbs My Sleep		C112649	SGRQ01-Coughing Disturbs My Sleep	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.	SGRQ Past 3 Months Version - Coughing Disturbs My Sleep
	SGRQ01-Coughing Hurts		C112645	SGRQ01-Coughing Hurts	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.	SGRQ Past 3 Months Version - Coughing Hurts
	SGRQ01-Coughing Makes Me Tired		C112646	SGRQ01-Coughing Makes Me Tired	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.	SGRQ Past 3 Months Version - Coughing Makes Me Tired
	SGRQ01-Describe Your Current Health		C112627	SGRQ01-Describe Your Current Health	St. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health.	SGRQ Past 3 Months Version - Describe Your Current Health
	SGRQ01-Describe Your Resp Condition		C112636	SGRQ01-Describe Your Resp Condition	St. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition?	SGRQ Past 3 Months Version - Describe Your Respiratory Condition
	SGRQ01-Difficult to Carry Heavy Loads		C112670	SGRQ01-Difficult to Carry Heavy Loads	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.	SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads
	SGRQ01-Difficult to Do Very Heavy Work		C112671	SGRQ01-Difficult to Do Very Heavy Work	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.	SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work
	SGRQ01-Difficult to Walk Up Hills		C112669	SGRQ01-Difficult to Walk Up Hills	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.	SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills
	SGRQ01-Embarrassed Using Med in Public		C112660	SGRQ01-Embarrassed Using Med in Public	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.	SGRQ Past 3 Months Version - Embarrassed Using Medication in Public
	SGRQ01-Everything Too Much Effort		C112658	SGRQ01-Everything Too Much Effort	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.	SGRQ Past 3 Months Version - Everything Too Much Effort
	SGRQ01-Exercise Is Not Safe for Me		C112657	SGRQ01-Exercise Is Not Safe for Me	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.	SGRQ Past 3 Months Version - Exercise Is Not Safe for Me
	SGRQ01-How Long Worst Resp Attack Last		C112633	SGRQ01-How Long Worst Resp Attack Last	St. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last?	SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last
	SGRQ01-How Many Good Days Have You Had		C112634	SGRQ01-How Many Good Days Have You Had	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had?	SGRQ Past 3 Months Version - How Many Good Days You Had
	SGRQ01-How Resp Problems Affect You		C112677	SGRQ01-How Resp Problems Affect You	St. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you.	SGRQ Past 3 Months Version - How Respiratory Problems Affect You
	SGRQ01-I Cannot Do Household Chores		C112675	SGRQ01-I Cannot Do Household Chores	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.	SGRQ Past 3 Months Version - Cannot Do Household Chores
	SGRQ01-I Cannot Move Far From My Bed		C112676	SGRQ01-I Cannot Move Far From My Bed	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.	SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair
	SGRQ01-I Cannot Play Sports		C112672	SGRQ01-I Cannot Play Sports	St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.	SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities
	SGRQ01-I Cannot Take a Bath or Shower		C112664	SGRQ01-I Cannot Take a Bath or Shower	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.	SGRQ Past 3 Months Version - Cannot Take a Bath or Shower
	SGRQ01-I Get Exhausted Easily		C112650	SGRQ01-I Get Exhausted Easily	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.	SGRQ Past 3 Months Version - I Get Exhausted Easily
	SGRQ01-I Have Become Frail		C112656	SGRQ01-I Have Become Frail	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.	SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems
	SGRQ01-I Have Brought Up Phlegm		C112629	SGRQ01-I Have Brought Up Phlegm	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum).	SGRQ Past 3 Months Version - I Have Brought Up Phlegm
	SGRQ01-I Have Coughed		C112628	SGRQ01-I Have Coughed	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed.	SGRQ Past 3 Months Version - I Have Coughed
	SGRQ01-I Have Had Shortness of Breath		C112630	SGRQ01-I Have Had Shortness of Breath	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath.	SGRQ Past 3 Months Version - I Have Had Shortness of Breath
	SGRQ01-I Have Had Wheezing Attacks		C112631	SGRQ01-I Have Had Wheezing Attacks	St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks.	SGRQ Past 3 Months Version - I Have Had Wheezing Attacks
	SGRQ01-I Walk Slower Than Other People		C112665	SGRQ01-I Walk Slower Than Other People	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.	SGRQ Past 3 Months Version - Walk Slower Than Other People My Age
	SGRQ01-If I Hurry, I Have to Stop		C112668	SGRQ01-If I Hurry, I Have to Stop	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.	SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down
	SGRQ01-If You Have Ever Held a job		C112637	SGRQ01-If You Have Ever Held a job	St. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job.	SGRQ Past 3 Months Version - Held a Job
	SGRQ01-Jobs Take a Long Time		C112666	SGRQ01-Jobs Take a Long Time	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.	SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop
	SGRQ01-Not Expect Probs to Get Better		C112655	SGRQ01-Not Expect Probs to Get Better	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.	SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better
	SGRQ01-Not in Control of Resp Problems		C112654	SGRQ01-Not in Control of Resp Problems	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.	SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems
	SGRQ01-Playing Sports		C112644	SGRQ01-Playing Sports	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.	SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities
	SGRQ01-Respiratory Problems a Nuisance		C112652	SGRQ01-Respiratory Problems a Nuisance	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.	SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family
	SGRQ01-Short of Breath When Bend Over		C112648	SGRQ01-Short of Breath When Bend Over	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.	SGRQ Past 3 Months Version - Short of Breath When Bend Over
	SGRQ01-Short of Breath When I Talk		C112647	SGRQ01-Short of Breath When I Talk	St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.	SGRQ Past 3 Months Version - Short of Breath When I Talk
	SGRQ01-Sitting or Lying Still		C112638	SGRQ01-Sitting or Lying Still	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.	SGRQ Past 3 Months Version - Sitting or Lying Still
	SGRQ01-Take a Long Time to Get Washed		C112663	SGRQ01-Take a Long Time to Get Washed	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.	SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed
	SGRQ01-Times Suffered Sev Resp Attacks		C112632	SGRQ01-Times Suffered Sev Resp Attacks	St. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks?	SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks
	SGRQ01-Treatment Does Not Help Me Much		C112659	SGRQ01-Treatment Does Not Help Me Much	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much.	SGRQ Past 3 Months Version - Treatment Does Not Help Me Much
	SGRQ01-Treatment Interferes With Life		C112662	SGRQ01-Treatment Interferes With Life	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.	SGRQ Past 3 Months Version - Treatment Interferes With My Life
	SGRQ01-Unpleasant Side Effect From Med		C112661	SGRQ01-Unpleasant Side Effect From Med	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.	SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication
	SGRQ01-Walk Up Flight of Stairs Slowly		C112667	SGRQ01-Walk Up Flight of Stairs Slowly	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.	SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow
	SGRQ01-Walking Around the House		C112640	SGRQ01-Walking Around the House	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.	SGRQ Past 3 Months Version - Walking Around the House
	SGRQ01-Walking Outside on Level Ground		C112641	SGRQ01-Walking Outside on Level Ground	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.	SGRQ Past 3 Months Version - Walking Outside on Level Ground
	SGRQ01-Walking Up a Flight of Stairs		C112642	SGRQ01-Walking Up a Flight of Stairs	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.	SGRQ Past 3 Months Version - Walking Up a Flight of Stairs
	SGRQ01-Walking Up Hills		C112643	SGRQ01-Walking Up Hills	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.	SGRQ Past 3 Months Version - Walking Up Hills
	SGRQ01-Washing or Dressing Yourself		C112639	SGRQ01-Washing or Dressing Yourself	St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.	SGRQ Past 3 Months Version - Washing or Dressing Yourself
	SGRQ01-Wheeze Worse in the Morning		C112635	SGRQ01-Wheeze Worse in the Morning	St. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning?	SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning
Back to top
CL.C112451.SGRQ Past 4 Weeks Version TESTCD	QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code (SGRQ Past 4 Weeks Version TESTCD)	text Extensible: No	C112451	QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code	St. George's Respiratory Questionnaire Past 4 Weeks Version test code.	CDISC Questionnaire SGRQ Past 4 Weeks Version Test Code Terminology
	SGRQ0201		C112678	SGRQ02-Describe Your Current Health	St. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health.	SGRQ Past 4 Weeks Version - Describe Your Current Health
	SGRQ0202		C112679	SGRQ02-I Have Coughed	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed.	SGRQ Past 4 Weeks Version - I Have Coughed
	SGRQ0203		C112680	SGRQ02-I Have Brought Up Phlegm	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum).	SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm
	SGRQ0204		C112681	SGRQ02-I Have Had Shortness of Breath	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath.	SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath
	SGRQ0205		C112682	SGRQ02-I Have Had Wheezing Attacks	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks.	SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks
	SGRQ0206		C112683	SGRQ02-Times Suffered Sev Resp Attacks	St. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks?	SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks
	SGRQ0207		C112684	SGRQ02-How Long Worst Resp Attack Last	St. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last?	SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last
	SGRQ0208		C112685	SGRQ02-How Many Good Days Have You Had	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had?	SGRQ Past 4 Weeks Version - How Many Good Days You Had
	SGRQ0209		C112686	SGRQ02-Wheeze Worse in the Morning	St. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning?	SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning
	SGRQ0210		C112687	SGRQ02-Describe Your Resp Condition	St. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition?	SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
	SGRQ0211		C112688	SGRQ02-If You Have Ever Held a job	St. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job.	SGRQ Past 4 Weeks Version - Held a Job
	SGRQ0212		C112689	SGRQ02-Sitting or Lying Still	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.	SGRQ Past 4 Weeks Version - Sitting or Lying Still
	SGRQ0213		C112690	SGRQ02-Washing or Dressing Yourself	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.	SGRQ Past 4 Weeks Version - Washing or Dressing Yourself
	SGRQ0214		C112691	SGRQ02-Walking Around the House	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.	SGRQ Past 4 Weeks Version - Walking Around the House
	SGRQ0215		C112692	SGRQ02-Walking Outside on Level Ground	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.	SGRQ Past 4 Weeks Version - Walking Outside on Level Ground
	SGRQ0216		C112693	SGRQ02-Walking Up a Flight of Stairs	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.	SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs
	SGRQ0217		C112694	SGRQ02-Walking Up Hills	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.	SGRQ Past 4 Weeks Version - Walking Up Hills
	SGRQ0218		C112695	SGRQ02-Playing Sports	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.	SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities
	SGRQ0219		C112696	SGRQ02-Coughing Hurts	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.	SGRQ Past 4 Weeks Version - Coughing Hurts
	SGRQ0220		C112697	SGRQ02-Coughing Makes Me Tired	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.	SGRQ Past 4 Weeks Version - Coughing Makes Me Tired
	SGRQ0221		C112698	SGRQ02-Short of Breath When I Talk	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.	SGRQ Past 4 Weeks Version - Short of Breath When I Talk
	SGRQ0222		C112699	SGRQ02-Short of Breath When Bend Over	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.	SGRQ Past 4 Weeks Version - Short of Breath When Bend Over
	SGRQ0223		C112700	SGRQ02-Coughing Disturbs My Sleep	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.	SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep
	SGRQ0224		C112701	SGRQ02-I Get Exhausted Easily	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.	SGRQ Past 4 Weeks Version - I Get Exhausted Easily
	SGRQ0225		C112702	SGRQ02-Cough Is Embarrassing in Public	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.	SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public
	SGRQ0226		C112703	SGRQ02-Respiratory Problems a Nuisance	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.	SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family
	SGRQ0227		C112704	SGRQ02-Afraid When Cannot Catch Breath	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.	SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath
	SGRQ0228		C112705	SGRQ02-Not in Control of Resp Problems	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.	SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems
	SGRQ0229		C112706	SGRQ02-Not Expect Probs to Get Better	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.	SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better
	SGRQ0230		C112707	SGRQ02-I Have Become Frail	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.	SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems
	SGRQ0231		C112708	SGRQ02-Exercise Is Not Safe for Me	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.	SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me
	SGRQ0232		C112709	SGRQ02-Everything Too Much Effort	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.	SGRQ Past 4 Weeks Version - Everything Too Much Effort
	SGRQ0233		C112710	SGRQ02-Treatment Does Not Help Me Much	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much.	SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much
	SGRQ0234		C112711	SGRQ02-Embarrassed Using Med in Public	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.	SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public
	SGRQ0235		C112712	SGRQ02-Unpleasant Side Effect From Med	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.	SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication
	SGRQ0236		C112713	SGRQ02-Treatment Interferes With Life	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.	SGRQ Past 4 Weeks Version - Treatment Interferes With My Life
	SGRQ0237		C112714	SGRQ02-Take a Long Time to Get Washed	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.	SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed
	SGRQ0238		C112715	SGRQ02-I Cannot Take a Bath or Shower	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.	SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower
	SGRQ0239		C112716	SGRQ02-I Walk Slower Than Other People	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.	SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age
	SGRQ0240		C112717	SGRQ02-Jobs Take a Long Time	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.	SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop
	SGRQ0241		C112718	SGRQ02-Walk Up Flight of Stairs Slowly	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.	SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow
	SGRQ0242		C112719	SGRQ02-If I Hurry, I Have to Stop	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.	SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down
	SGRQ0243		C112720	SGRQ02-Difficult to Walk Up Hills	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.	SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills
	SGRQ0244		C112721	SGRQ02-Difficult to Carry Heavy Loads	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.	SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads
	SGRQ0245		C112722	SGRQ02-Difficult to Do Very Heavy Work	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.	SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work
	SGRQ0246		C112723	SGRQ02-I Cannot Play Sports	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.	SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities
	SGRQ0247		C112724	SGRQ02-Cannot Go Out for Entertainment	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.	SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment
	SGRQ0248		C112725	SGRQ02-Cannot Go Out to Do Shopping	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.	SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping
	SGRQ0249		C112726	SGRQ02-I Cannot Do Household Chores	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.	SGRQ Past 4 Weeks Version - Cannot Do Household Chores
	SGRQ0250		C112727	SGRQ02-I Cannot Move Far From My Bed	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.	SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair
	SGRQ0251		C112728	SGRQ02-How Resp Problems Affect You	St. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you.	SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You
Back to top
CL.C112450.SGRQ Past 4 Weeks Version TEST	QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name (SGRQ Past 4 Weeks Version TEST)	text Extensible: No	C112450	QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name	St. George's Respiratory Questionnaire Past 4 Weeks Version test name.	CDISC Questionnaire SGRQ Past 4 Weeks Version Test Name Terminology
	SGRQ02-Afraid When Cannot Catch Breath		C112704	SGRQ02-Afraid When Cannot Catch Breath	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.	SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath
	SGRQ02-Cannot Go Out for Entertainment		C112724	SGRQ02-Cannot Go Out for Entertainment	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.	SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment
	SGRQ02-Cannot Go Out to Do Shopping		C112725	SGRQ02-Cannot Go Out to Do Shopping	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.	SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping
	SGRQ02-Cough Is Embarrassing in Public		C112702	SGRQ02-Cough Is Embarrassing in Public	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.	SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public
	SGRQ02-Coughing Disturbs My Sleep		C112700	SGRQ02-Coughing Disturbs My Sleep	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.	SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep
	SGRQ02-Coughing Hurts		C112696	SGRQ02-Coughing Hurts	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.	SGRQ Past 4 Weeks Version - Coughing Hurts
	SGRQ02-Coughing Makes Me Tired		C112697	SGRQ02-Coughing Makes Me Tired	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.	SGRQ Past 4 Weeks Version - Coughing Makes Me Tired
	SGRQ02-Describe Your Current Health		C112678	SGRQ02-Describe Your Current Health	St. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health.	SGRQ Past 4 Weeks Version - Describe Your Current Health
	SGRQ02-Describe Your Resp Condition		C112687	SGRQ02-Describe Your Resp Condition	St. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition?	SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
	SGRQ02-Difficult to Carry Heavy Loads		C112721	SGRQ02-Difficult to Carry Heavy Loads	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.	SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads
	SGRQ02-Difficult to Do Very Heavy Work		C112722	SGRQ02-Difficult to Do Very Heavy Work	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.	SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work
	SGRQ02-Difficult to Walk Up Hills		C112720	SGRQ02-Difficult to Walk Up Hills	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.	SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills
	SGRQ02-Embarrassed Using Med in Public		C112711	SGRQ02-Embarrassed Using Med in Public	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.	SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public
	SGRQ02-Everything Too Much Effort		C112709	SGRQ02-Everything Too Much Effort	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.	SGRQ Past 4 Weeks Version - Everything Too Much Effort
	SGRQ02-Exercise Is Not Safe for Me		C112708	SGRQ02-Exercise Is Not Safe for Me	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.	SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me
	SGRQ02-How Long Worst Resp Attack Last		C112684	SGRQ02-How Long Worst Resp Attack Last	St. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last?	SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last
	SGRQ02-How Many Good Days Have You Had		C112685	SGRQ02-How Many Good Days Have You Had	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had?	SGRQ Past 4 Weeks Version - How Many Good Days You Had
	SGRQ02-How Resp Problems Affect You		C112728	SGRQ02-How Resp Problems Affect You	St. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you.	SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You
	SGRQ02-I Cannot Do Household Chores		C112726	SGRQ02-I Cannot Do Household Chores	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.	SGRQ Past 4 Weeks Version - Cannot Do Household Chores
	SGRQ02-I Cannot Move Far From My Bed		C112727	SGRQ02-I Cannot Move Far From My Bed	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.	SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair
	SGRQ02-I Cannot Play Sports		C112723	SGRQ02-I Cannot Play Sports	St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.	SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities
	SGRQ02-I Cannot Take a Bath or Shower		C112715	SGRQ02-I Cannot Take a Bath or Shower	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.	SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower
	SGRQ02-I Get Exhausted Easily		C112701	SGRQ02-I Get Exhausted Easily	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.	SGRQ Past 4 Weeks Version - I Get Exhausted Easily
	SGRQ02-I Have Become Frail		C112707	SGRQ02-I Have Become Frail	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.	SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems
	SGRQ02-I Have Brought Up Phlegm		C112680	SGRQ02-I Have Brought Up Phlegm	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum).	SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm
	SGRQ02-I Have Coughed		C112679	SGRQ02-I Have Coughed	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed.	SGRQ Past 4 Weeks Version - I Have Coughed
	SGRQ02-I Have Had Shortness of Breath		C112681	SGRQ02-I Have Had Shortness of Breath	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath.	SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath
	SGRQ02-I Have Had Wheezing Attacks		C112682	SGRQ02-I Have Had Wheezing Attacks	St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks.	SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks
	SGRQ02-I Walk Slower Than Other People		C112716	SGRQ02-I Walk Slower Than Other People	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.	SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age
	SGRQ02-If I Hurry, I Have to Stop		C112719	SGRQ02-If I Hurry, I Have to Stop	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.	SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down
	SGRQ02-If You Have Ever Held a job		C112688	SGRQ02-If You Have Ever Held a job	St. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job.	SGRQ Past 4 Weeks Version - Held a Job
	SGRQ02-Jobs Take a Long Time		C112717	SGRQ02-Jobs Take a Long Time	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.	SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop
	SGRQ02-Not Expect Probs to Get Better		C112706	SGRQ02-Not Expect Probs to Get Better	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.	SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better
	SGRQ02-Not in Control of Resp Problems		C112705	SGRQ02-Not in Control of Resp Problems	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.	SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems
	SGRQ02-Playing Sports		C112695	SGRQ02-Playing Sports	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.	SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities
	SGRQ02-Respiratory Problems a Nuisance		C112703	SGRQ02-Respiratory Problems a Nuisance	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.	SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family
	SGRQ02-Short of Breath When Bend Over		C112699	SGRQ02-Short of Breath When Bend Over	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.	SGRQ Past 4 Weeks Version - Short of Breath When Bend Over
	SGRQ02-Short of Breath When I Talk		C112698	SGRQ02-Short of Breath When I Talk	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.	SGRQ Past 4 Weeks Version - Short of Breath When I Talk
	SGRQ02-Sitting or Lying Still		C112689	SGRQ02-Sitting or Lying Still	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.	SGRQ Past 4 Weeks Version - Sitting or Lying Still
	SGRQ02-Take a Long Time to Get Washed		C112714	SGRQ02-Take a Long Time to Get Washed	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.	SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed
	SGRQ02-Times Suffered Sev Resp Attacks		C112683	SGRQ02-Times Suffered Sev Resp Attacks	St. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks?	SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks
	SGRQ02-Treatment Does Not Help Me Much		C112710	SGRQ02-Treatment Does Not Help Me Much	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much.	SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much
	SGRQ02-Treatment Interferes With Life		C112713	SGRQ02-Treatment Interferes With Life	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.	SGRQ Past 4 Weeks Version - Treatment Interferes With My Life
	SGRQ02-Unpleasant Side Effect From Med		C112712	SGRQ02-Unpleasant Side Effect From Med	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.	SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication
	SGRQ02-Walk Up Flight of Stairs Slowly		C112718	SGRQ02-Walk Up Flight of Stairs Slowly	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.	SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow
	SGRQ02-Walking Around the House		C112691	SGRQ02-Walking Around the House	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.	SGRQ Past 4 Weeks Version - Walking Around the House
	SGRQ02-Walking Outside on Level Ground		C112692	SGRQ02-Walking Outside on Level Ground	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.	SGRQ Past 4 Weeks Version - Walking Outside on Level Ground
	SGRQ02-Walking Up a Flight of Stairs		C112693	SGRQ02-Walking Up a Flight of Stairs	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.	SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs
	SGRQ02-Walking Up Hills		C112694	SGRQ02-Walking Up Hills	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.	SGRQ Past 4 Weeks Version - Walking Up Hills
	SGRQ02-Washing or Dressing Yourself		C112690	SGRQ02-Washing or Dressing Yourself	St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.	SGRQ Past 4 Weeks Version - Washing or Dressing Yourself
	SGRQ02-Wheeze Worse in the Morning		C112686	SGRQ02-Wheeze Worse in the Morning	St. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning?	SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning
Back to top
CL.C101828.SOWS Subjective TESTCD	QS-Subjective Opiate Withdrawal Scale Test Code (SOWS Subjective TESTCD)	text Extensible: No	C101828	QS-Subjective Opiate Withdrawal Scale Test Code	Subjective Opiate Withdrawal Scale test code.	CDISC Questionnaire SOWS Subjective Test Code Terminology
	SOWSA101		C102409	SOWSA1-I Feel Anxious	Subjective Opiate Withdrawal Scale - I feel anxious.	SOWS Subjective (Handelsman) - I Feel Anxious
	SOWSA102		C102410	SOWSA1-I Feel Like Yawning	Subjective Opiate Withdrawal Scale - I feel like yawning.	SOWS Subjective (Handelsman) - I Feel Like Yawning
	SOWSA103		C102411	SOWSA1-I'm Perspiring	Subjective Opiate Withdrawal Scale - I'm perspiring.	SOWS Subjective (Handelsman) - I'm Perspiring
	SOWSA104		C102412	SOWSA1-My Eyes Are Tearing	Subjective Opiate Withdrawal Scale - My eyes are tearing.	SOWS Subjective (Handelsman) - My Eyes Are Tearing
	SOWSA105		C102413	SOWSA1-My Nose is Running	Subjective Opiate Withdrawal Scale - My nose is running.	SOWS Subjective (Handelsman) - My Nose is Running
	SOWSA106		C102414	SOWSA1-I Have Goose Flesh	Subjective Opiate Withdrawal Scale - I have goose flesh.	SOWS Subjective (Handelsman) - I Have Goose Flesh
	SOWSA107		C102415	SOWSA1-I Am Shaking	Subjective Opiate Withdrawal Scale - I am shaking.	SOWS Subjective (Handelsman) - I Am Shaking
	SOWSA108		C102416	SOWSA1-I Have Hot Flashes	Subjective Opiate Withdrawal Scale - I have hot flashes.	SOWS Subjective (Handelsman) - I Have Hot Flashes
	SOWSA109		C102417	SOWSA1-I Have Cold Flashes	Subjective Opiate Withdrawal Scale - I have cold flashes.	SOWS Subjective (Handelsman) - I Have Cold Flashes
	SOWSA110		C102418	SOWSA1-My Bones and Muscles Ache	Subjective Opiate Withdrawal Scale - My bones and muscles ache.	SOWS Subjective (Handelsman) - My Bones and Muscles Ache
	SOWSA111		C102419	SOWSA1-I Feel Restless	Subjective Opiate Withdrawal Scale - I feel restless.	SOWS Subjective (Handelsman) - I Feel Restless
	SOWSA112		C102420	SOWSA1-I Feel Nauseous	Subjective Opiate Withdrawal Scale - I feel nauseous.	SOWS Subjective (Handelsman) - I Feel Nauseous
	SOWSA113		C102421	SOWSA1-I Feel Like Vomiting	Subjective Opiate Withdrawal Scale - I feel like vomiting.	SOWS Subjective (Handelsman) - I Feel Like Vomiting
	SOWSA114		C102422	SOWSA1-My Muscles Twitch	Subjective Opiate Withdrawal Scale - My muscles twitch.	SOWS Subjective (Handelsman) - My Muscles Twitch
	SOWSA115		C102423	SOWSA1-I Have Cramps in My Stomach	Subjective Opiate Withdrawal Scale - I have cramps in my stomach.	SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
	SOWSA116		C102424	SOWSA1-I Feel Like Shooting Up Now	Subjective Opiate Withdrawal Scale - I feel like shooting up now.	SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
Back to top
CL.C101829.SOWS Subjective TEST	QS-Subjective Opiate Withdrawal Scale Test Name (SOWS Subjective TEST)	text Extensible: No	C101829	QS-Subjective Opiate Withdrawal Scale Test Name	Subjective Opiate Withdrawal Scale test name.	CDISC Questionnaire SOWS Subjective Test Name Terminology
	SOWSA1-I Am Shaking		C102415	SOWSA1-I Am Shaking	Subjective Opiate Withdrawal Scale - I am shaking.	SOWS Subjective (Handelsman) - I Am Shaking
	SOWSA1-I Feel Anxious		C102409	SOWSA1-I Feel Anxious	Subjective Opiate Withdrawal Scale - I feel anxious.	SOWS Subjective (Handelsman) - I Feel Anxious
	SOWSA1-I Feel Like Shooting Up Now		C102424	SOWSA1-I Feel Like Shooting Up Now	Subjective Opiate Withdrawal Scale - I feel like shooting up now.	SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
	SOWSA1-I Feel Like Vomiting		C102421	SOWSA1-I Feel Like Vomiting	Subjective Opiate Withdrawal Scale - I feel like vomiting.	SOWS Subjective (Handelsman) - I Feel Like Vomiting
	SOWSA1-I Feel Like Yawning		C102410	SOWSA1-I Feel Like Yawning	Subjective Opiate Withdrawal Scale - I feel like yawning.	SOWS Subjective (Handelsman) - I Feel Like Yawning
	SOWSA1-I Feel Nauseous		C102420	SOWSA1-I Feel Nauseous	Subjective Opiate Withdrawal Scale - I feel nauseous.	SOWS Subjective (Handelsman) - I Feel Nauseous
	SOWSA1-I Feel Restless		C102419	SOWSA1-I Feel Restless	Subjective Opiate Withdrawal Scale - I feel restless.	SOWS Subjective (Handelsman) - I Feel Restless
	SOWSA1-I Have Cold Flashes		C102417	SOWSA1-I Have Cold Flashes	Subjective Opiate Withdrawal Scale - I have cold flashes.	SOWS Subjective (Handelsman) - I Have Cold Flashes
	SOWSA1-I Have Cramps in My Stomach		C102423	SOWSA1-I Have Cramps in My Stomach	Subjective Opiate Withdrawal Scale - I have cramps in my stomach.	SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
	SOWSA1-I Have Goose Flesh		C102414	SOWSA1-I Have Goose Flesh	Subjective Opiate Withdrawal Scale - I have goose flesh.	SOWS Subjective (Handelsman) - I Have Goose Flesh
	SOWSA1-I Have Hot Flashes		C102416	SOWSA1-I Have Hot Flashes	Subjective Opiate Withdrawal Scale - I have hot flashes.	SOWS Subjective (Handelsman) - I Have Hot Flashes
	SOWSA1-I'm Perspiring		C102411	SOWSA1-I'm Perspiring	Subjective Opiate Withdrawal Scale - I'm perspiring.	SOWS Subjective (Handelsman) - I'm Perspiring
	SOWSA1-My Bones and Muscles Ache		C102418	SOWSA1-My Bones and Muscles Ache	Subjective Opiate Withdrawal Scale - My bones and muscles ache.	SOWS Subjective (Handelsman) - My Bones and Muscles Ache
	SOWSA1-My Eyes Are Tearing		C102412	SOWSA1-My Eyes Are Tearing	Subjective Opiate Withdrawal Scale - My eyes are tearing.	SOWS Subjective (Handelsman) - My Eyes Are Tearing
	SOWSA1-My Muscles Twitch		C102422	SOWSA1-My Muscles Twitch	Subjective Opiate Withdrawal Scale - My muscles twitch.	SOWS Subjective (Handelsman) - My Muscles Twitch
	SOWSA1-My Nose is Running		C102413	SOWSA1-My Nose is Running	Subjective Opiate Withdrawal Scale - My nose is running.	SOWS Subjective (Handelsman) - My Nose is Running
Back to top
CL.C103485.SIQR TESTCD	QS-Symptom Impact Questionnaire Test Code (SIQR TESTCD)	text Extensible: No	C103485	QS-Symptom Impact Questionnaire Test Code	Symptom Impact Questionnaire test code.	CDISC Questionnaire SIQR Test Code Terminology
	SIQR0101		C103730	SIQR01-Brush or Comb Your Hair	Symptom Impact Questionnaire - Brush or comb your hair.	SIQR - Brush or Comb Your Hair
	SIQR0102		C103731	SIQR01-Walk Continuously for 20 Minutes	Symptom Impact Questionnaire - Walk continuously for 20 minutes.	SIQR - Walk Continuously for 20 Minutes
	SIQR0103		C103732	SIQR01-Prepare a Homemade Meal	Symptom Impact Questionnaire - Prepare a homemade meal.	SIQR - Prepare a Homemade Meal
	SIQR0104		C103733	SIQR01-Vacuum Scrub or Sweep Floors	Symptom Impact Questionnaire - Vacuum, scrub or sweep floors.	SIQR - Vacuum Scrub or Sweep Floors
	SIQR0105		C103734	SIQR01-Lift/Carry Bag Full of Groceries	Symptom Impact Questionnaire - Lift and carry a bag full of groceries.	SIQR - Lift and Carry a Bag Full of Groceries
	SIQR0106		C103735	SIQR01-Climb One Flight of Stairs	Symptom Impact Questionnaire - Climb one flight of stairs.	SIQR - Climb One Flight of Stairs
	SIQR0107		C103736	SIQR01-Change Bed Sheets	Symptom Impact Questionnaire - Change bed sheets.	SIQR - Change Bed Sheets
	SIQR0108		C103737	SIQR01-Sit in a Chair for 45 Minutes	Symptom Impact Questionnaire - Sit in a chair for 45 minutes.	SIQR - Sit in a Chair for 45 Minutes
	SIQR0109		C103738	SIQR01-Go Shopping for Groceries	Symptom Impact Questionnaire - Go shopping for groceries.	SIQR - Go Shopping for Groceries
	SIQR0110		C103739	SIQR01-Prevent from Accomplishing Goals	Symptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week.	SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
	SIQR0111		C103740	SIQR01-Overwhelmed by Medical Problems	Symptom Impact Questionnaire - I was completely overwhelmed by my medical problems.	SIQR - I was Completely Overwhelmed by My Medical Problem
	SIQR0112		C103741	SIQR01-Pain	Symptom Impact Questionnaire - Please rate your level of pain.	SIQR - Pain
	SIQR0113		C103742	SIQR01-Energy	Symptom Impact Questionnaire - Please rate your level of energy.	SIQR - Energy
	SIQR0114		C103743	SIQR01-Stiffness	Symptom Impact Questionnaire - Please rate your level of stiffness.	SIQR - Stiffness
	SIQR0115		C103744	SIQR01-Your Sleep	Symptom Impact Questionnaire - Please rate the quality of your sleep.	SIQR - Your Sleep
	SIQR0116		C103745	SIQR01-Depression	Symptom Impact Questionnaire - Please rate your level of depression.	SIQR - Depression
	SIQR0117		C103746	SIQR01-Memory Problems	Symptom Impact Questionnaire - Please rate your level of memory problems.	SIQR - Memory Problems
	SIQR0118		C103747	SIQR01-Anxiety	Symptom Impact Questionnaire - Please rate your level of anxiety.	SIQR - Anxiety
	SIQR0119		C103748	SIQR01-Tenderness to Touch	Symptom Impact Questionnaire - Please rate your level of tenderness to touch.	SIQR - Tenderness to Touch
	SIQR0120		C103749	SIQR01-Balance Problems	Symptom Impact Questionnaire - Please rate your level of balance problems.	SIQR - Balance Problems
	SIQR0121		C103750	SIQR01-Sensitivity Noise/Light/Odor/Cold	Symptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.	SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
Back to top
CL.C103484.SIQR TEST	QS-Symptom Impact Questionnaire Test Name (SIQR TEST)	text Extensible: No	C103484	QS-Symptom Impact Questionnaire Test Name	Symptom Impact Questionnaire test name.	CDISC Questionnaire SIQR Test Name Terminology
	SIQR01-Anxiety		C103747	SIQR01-Anxiety	Symptom Impact Questionnaire - Please rate your level of anxiety.	SIQR - Anxiety
	SIQR01-Balance Problems		C103749	SIQR01-Balance Problems	Symptom Impact Questionnaire - Please rate your level of balance problems.	SIQR - Balance Problems
	SIQR01-Brush or Comb Your Hair		C103730	SIQR01-Brush or Comb Your Hair	Symptom Impact Questionnaire - Brush or comb your hair.	SIQR - Brush or Comb Your Hair
	SIQR01-Change Bed Sheets		C103736	SIQR01-Change Bed Sheets	Symptom Impact Questionnaire - Change bed sheets.	SIQR - Change Bed Sheets
	SIQR01-Climb One Flight of Stairs		C103735	SIQR01-Climb One Flight of Stairs	Symptom Impact Questionnaire - Climb one flight of stairs.	SIQR - Climb One Flight of Stairs
	SIQR01-Depression		C103745	SIQR01-Depression	Symptom Impact Questionnaire - Please rate your level of depression.	SIQR - Depression
	SIQR01-Energy		C103742	SIQR01-Energy	Symptom Impact Questionnaire - Please rate your level of energy.	SIQR - Energy
	SIQR01-Go Shopping for Groceries		C103738	SIQR01-Go Shopping for Groceries	Symptom Impact Questionnaire - Go shopping for groceries.	SIQR - Go Shopping for Groceries
	SIQR01-Lift/Carry Bag Full of Groceries		C103734	SIQR01-Lift/Carry Bag Full of Groceries	Symptom Impact Questionnaire - Lift and carry a bag full of groceries.	SIQR - Lift and Carry a Bag Full of Groceries
	SIQR01-Memory Problems		C103746	SIQR01-Memory Problems	Symptom Impact Questionnaire - Please rate your level of memory problems.	SIQR - Memory Problems
	SIQR01-Overwhelmed by Medical Problems		C103740	SIQR01-Overwhelmed by Medical Problems	Symptom Impact Questionnaire - I was completely overwhelmed by my medical problems.	SIQR - I was Completely Overwhelmed by My Medical Problem
	SIQR01-Pain		C103741	SIQR01-Pain	Symptom Impact Questionnaire - Please rate your level of pain.	SIQR - Pain
	SIQR01-Prepare a Homemade Meal		C103732	SIQR01-Prepare a Homemade Meal	Symptom Impact Questionnaire - Prepare a homemade meal.	SIQR - Prepare a Homemade Meal
	SIQR01-Prevent from Accomplishing Goals		C103739	SIQR01-Prevent from Accomplishing Goals	Symptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week.	SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
	SIQR01-Sensitivity Noise/Light/Odor/Cold		C103750	SIQR01-Sensitivity Noise/Light/Odor/Cold	Symptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.	SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
	SIQR01-Sit in a Chair for 45 Minutes		C103737	SIQR01-Sit in a Chair for 45 Minutes	Symptom Impact Questionnaire - Sit in a chair for 45 minutes.	SIQR - Sit in a Chair for 45 Minutes
	SIQR01-Stiffness		C103743	SIQR01-Stiffness	Symptom Impact Questionnaire - Please rate your level of stiffness.	SIQR - Stiffness
	SIQR01-Tenderness to Touch		C103748	SIQR01-Tenderness to Touch	Symptom Impact Questionnaire - Please rate your level of tenderness to touch.	SIQR - Tenderness to Touch
	SIQR01-Vacuum Scrub or Sweep Floors		C103733	SIQR01-Vacuum Scrub or Sweep Floors	Symptom Impact Questionnaire - Vacuum, scrub or sweep floors.	SIQR - Vacuum Scrub or Sweep Floors
	SIQR01-Walk Continuously for 20 Minutes		C103731	SIQR01-Walk Continuously for 20 Minutes	Symptom Impact Questionnaire - Walk continuously for 20 minutes.	SIQR - Walk Continuously for 20 Minutes
	SIQR01-Your Sleep		C103744	SIQR01-Your Sleep	Symptom Impact Questionnaire - Please rate the quality of your sleep.	SIQR - Your Sleep
Back to top
CL.C103479.ODI v2.1A TESTCD	QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code (ODI v2.1A TESTCD)	text Extensible: No	C103479	QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code	The Oswestry Disability Index Version 2.1a test code.	CDISC Questionnaire ODI v2.1a Test Code Terminology
	ODI0101		C103762	ODI01-Pain Intensity	The Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity.	ODI v2.1a - Pain Intensity
	ODI0102		C103763	ODI01-Personal Care	The Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.).	ODI v2.1a - Personal Care
	ODI0103		C103764	ODI01-Lifting	The Oswestry Disability Index Version 2.1a - Section 3 - Lifting.	ODI v2.1a - Lifting
	ODI0104		C103765	ODI01-Walking	The Oswestry Disability Index Version 2.1a - Section 4 - Walking.	ODI v2.1a - Walking
	ODI0105		C103766	ODI01-Sitting	The Oswestry Disability Index Version 2.1a - Section 5 - Sitting.	ODI v2.1a - Sitting
	ODI0106		C103767	ODI01-Standing	The Oswestry Disability Index Version 2.1a - Section 6 - Standing.	ODI v2.1a - Standing
	ODI0107		C103768	ODI01-Sleeping	The Oswestry Disability Index Version 2.1a - Section 7 - Sleeping.	ODI v2.1a - Sleeping
	ODI0108		C103769	ODI01-Sex Life	The Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable).	ODI v2.1a - Sex Life
	ODI0109		C103770	ODI01-Social Life	The Oswestry Disability Index Version 2.1a - Section 9 - Social life.	ODI v2.1a - Social Life
	ODI0110		C103771	ODI01-Travelling	The Oswestry Disability Index Version 2.1a - Section 10 - Travelling.	ODI v2.1a - Travelling
Back to top
CL.C103478.ODI v2.1A TEST	QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name (ODI v2.1A TEST)	text Extensible: No	C103478	QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name	The Oswestry Disability Index Version 2.1a test name.	CDISC Questionnaire ODI v2.1a Test Name Terminology
	ODI01-Lifting		C103764	ODI01-Lifting	The Oswestry Disability Index Version 2.1a - Section 3 - Lifting.	ODI v2.1a - Lifting
	ODI01-Pain Intensity		C103762	ODI01-Pain Intensity	The Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity.	ODI v2.1a - Pain Intensity
	ODI01-Personal Care		C103763	ODI01-Personal Care	The Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.).	ODI v2.1a - Personal Care
	ODI01-Sex Life		C103769	ODI01-Sex Life	The Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable).	ODI v2.1a - Sex Life
	ODI01-Sitting		C103766	ODI01-Sitting	The Oswestry Disability Index Version 2.1a - Section 5 - Sitting.	ODI v2.1a - Sitting
	ODI01-Sleeping		C103768	ODI01-Sleeping	The Oswestry Disability Index Version 2.1a - Section 7 - Sleeping.	ODI v2.1a - Sleeping
	ODI01-Social Life		C103770	ODI01-Social Life	The Oswestry Disability Index Version 2.1a - Section 9 - Social life.	ODI v2.1a - Social Life
	ODI01-Standing		C103767	ODI01-Standing	The Oswestry Disability Index Version 2.1a - Section 6 - Standing.	ODI v2.1a - Standing
	ODI01-Travelling		C103771	ODI01-Travelling	The Oswestry Disability Index Version 2.1a - Section 10 - Travelling.	ODI v2.1a - Travelling
	ODI01-Walking		C103765	ODI01-Walking	The Oswestry Disability Index Version 2.1a - Section 4 - Walking.	ODI v2.1a - Walking
Back to top
CL.C103477.OAB-Q Short Form TESTCD	QS-The Overactive Bladder Questionnaire Short Form Test Code (OAB-Q Short Form TESTCD)	text Extensible: No	C103477	QS-The Overactive Bladder Questionnaire Short Form Test Code	The Overactive Bladder Questionnaire Short Form test code.	CDISC Questionnaire OAB-q Short Form Test Code Terminology
	OABQ0201		C103686	OABQ02-Uncomfortable Urge to Urinate	The Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate?	OAB-q Short Form - Uncomfortable Urge to Urinate
	OABQ0202		C103687	OABQ02-Sudden Urge to Urinate No Warning	The Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning?	OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning
	OABQ0203		C103688	OABQ02-Accidental Loss of Urine	The Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine?	OAB-q Short Form - Accidental Loss of Urine
	OABQ0204		C103689	OABQ02-Nighttime Urination	The Overactive Bladder Questionnaire Short Form - Nighttime urination?	OAB-q Short Form - Nighttime Urination
	OABQ0205		C103690	OABQ02-Waking Up at Night had to Urinate	The Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate?	OAB-q Short Form - Waking Up at Night Because You had to Urinate
	OABQ0206		C103691	OABQ02-Urine Loss Strong Desire Urinate	The Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate?	OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate
	OABQ0207		C103692	OABQ02-Plan 'Escape Routes' to Restrooms	The Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places?	OAB-q Short Form - Plan 'Escape Routes' to Restrooms
	OABQ0208		C103693	OABQ02-Feel Something is Wrong with You	The Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you?	OAB-q Short Form - Feel Like There is Something Wrong with You
	OABQ0209		C103694	OABQ02-Interfered with Good Night's Rest	The Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest?	OAB-q Short Form - Interfered with a Good Night's Rest
	OABQ0210		C103695	OABQ02-Frustrated about Time in Restroom	The Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom?	OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
	OABQ0211		C103696	OABQ02-Avoid Activ Away From Restroom	The Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?	OAB-q Short Form - Avoid Activities Away From Restrooms
	OABQ0212		C103697	OABQ02-Awakened You During Sleep	The Overactive Bladder Questionnaire Short Form - Awakened you during sleep?	OAB-q Short Form - Awakened You During Sleep
	OABQ0213		C103698	OABQ02-Decrease Physical Activities	The Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)?	OAB-q Short Form - Decrease Your Physical Activities
	OABQ0214		C103699	OABQ02-Caused Problems Partner/Spouse	The Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse?	OAB-q Short Form - Caused Problems with Your Partner or Spouse
	OABQ0215		C103700	OABQ02-Uncomfortable Travel with Others	The Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom?	OAB-q Short Form - Uncomfortable While Traveling With Others
	OABQ0216		C103701	OABQ02-Affected Relationships	The Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends?	OAB-q Short Form - Affected Your Relationships with Family and Friends
	OABQ0217		C103702	OABQ02-Interfered with Getting Sleep	The Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed?	OAB-q Short Form - Interfered with Getting Sleep
	OABQ0218		C103703	OABQ02-Caused You Embarrassment	The Overactive Bladder Questionnaire Short Form - Caused you embarrassment?	OAB-q Short Form - Caused You Embarrassment
	OABQ0219		C103704	OABQ02-Locate Closest Restroom	The Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?	OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive
Back to top
CL.C103476.OAB-Q Short Form TEST	QS-The Overactive Bladder Questionnaire Short Form Test Name (OAB-Q Short Form TEST)	text Extensible: No	C103476	QS-The Overactive Bladder Questionnaire Short Form Test Name	The Overactive Bladder Questionnaire Short Form test name.	CDISC Questionnaire OAB-q Short Form Test Name Terminology
	OABQ02-Accidental Loss of Urine		C103688	OABQ02-Accidental Loss of Urine	The Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine?	OAB-q Short Form - Accidental Loss of Urine
	OABQ02-Affected Relationships		C103701	OABQ02-Affected Relationships	The Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends?	OAB-q Short Form - Affected Your Relationships with Family and Friends
	OABQ02-Avoid Activ Away From Restroom		C103696	OABQ02-Avoid Activ Away From Restroom	The Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?	OAB-q Short Form - Avoid Activities Away From Restrooms
	OABQ02-Awakened You During Sleep		C103697	OABQ02-Awakened You During Sleep	The Overactive Bladder Questionnaire Short Form - Awakened you during sleep?	OAB-q Short Form - Awakened You During Sleep
	OABQ02-Caused Problems Partner/Spouse		C103699	OABQ02-Caused Problems Partner/Spouse	The Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse?	OAB-q Short Form - Caused Problems with Your Partner or Spouse
	OABQ02-Caused You Embarrassment		C103703	OABQ02-Caused You Embarrassment	The Overactive Bladder Questionnaire Short Form - Caused you embarrassment?	OAB-q Short Form - Caused You Embarrassment
	OABQ02-Decrease Physical Activities		C103698	OABQ02-Decrease Physical Activities	The Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)?	OAB-q Short Form - Decrease Your Physical Activities
	OABQ02-Feel Something is Wrong with You		C103693	OABQ02-Feel Something is Wrong with You	The Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you?	OAB-q Short Form - Feel Like There is Something Wrong with You
	OABQ02-Frustrated about Time in Restroom		C103695	OABQ02-Frustrated about Time in Restroom	The Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom?	OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
	OABQ02-Interfered with Getting Sleep		C103702	OABQ02-Interfered with Getting Sleep	The Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed?	OAB-q Short Form - Interfered with Getting Sleep
	OABQ02-Interfered with Good Night's Rest		C103694	OABQ02-Interfered with Good Night's Rest	The Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest?	OAB-q Short Form - Interfered with a Good Night's Rest
	OABQ02-Locate Closest Restroom		C103704	OABQ02-Locate Closest Restroom	The Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?	OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive
	OABQ02-Nighttime Urination		C103689	OABQ02-Nighttime Urination	The Overactive Bladder Questionnaire Short Form - Nighttime urination?	OAB-q Short Form - Nighttime Urination
	OABQ02-Plan 'Escape Routes' to Restrooms		C103692	OABQ02-Plan 'Escape Routes' to Restrooms	The Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places?	OAB-q Short Form - Plan 'Escape Routes' to Restrooms
	OABQ02-Sudden Urge to Urinate No Warning		C103687	OABQ02-Sudden Urge to Urinate No Warning	The Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning?	OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning
	OABQ02-Uncomfortable Travel with Others		C103700	OABQ02-Uncomfortable Travel with Others	The Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom?	OAB-q Short Form - Uncomfortable While Traveling With Others
	OABQ02-Uncomfortable Urge to Urinate		C103686	OABQ02-Uncomfortable Urge to Urinate	The Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate?	OAB-q Short Form - Uncomfortable Urge to Urinate
	OABQ02-Urine Loss Strong Desire Urinate		C103691	OABQ02-Urine Loss Strong Desire Urinate	The Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate?	OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate
	OABQ02-Waking Up at Night had to Urinate		C103690	OABQ02-Waking Up at Night had to Urinate	The Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate?	OAB-q Short Form - Waking Up at Night Because You had to Urinate
Back to top
CL.C103475.OAB-Q TESTCD	QS-The Overactive Bladder Questionnaire Test Code (OAB-Q TESTCD)	text Extensible: No	C103475	QS-The Overactive Bladder Questionnaire Test Code	The Overactive Bladder Questionnaire test code.	CDISC Questionnaire OAB-q Test Code Terminology
	OABQ0101		C103653	OABQ01-Frequent Urination During Daytime	The Overactive Bladder Questionnaire - Frequent urination during the daytime hours?	OAB-q - Frequent Urination During the Daytime
	OABQ0102		C103654	OABQ01-Uncomfortable Urge to Urinate	The Overactive Bladder Questionnaire - An uncomfortable urge to urinate?	OAB-q - Uncomfortable Urge to Urinate
	OABQ0103		C103655	OABQ01-Sudden Urge to Urinate No Warning	The Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning?	OAB-q - Sudden Urge to Urinate with Little or No Warning
	OABQ0104		C103656	OABQ01-Accidental Loss of Urine	The Overactive Bladder Questionnaire - Accidental loss of small amounts of urine?	OAB-q - Accidental Loss of Urine
	OABQ0105		C103657	OABQ01-Nighttime Urination	The Overactive Bladder Questionnaire - Nighttime urination?	OAB-q - Nighttime Urination
	OABQ0106		C103658	OABQ01-Waking Up at Night had to Urinate	The Overactive Bladder Questionnaire - Waking up at night because you had to urinate?	OAB-q - Waking Up at Night Because You had to Urinate
	OABQ0107		C103659	OABQ01-Uncontrollable Urge to Urinate	The Overactive Bladder Questionnaire - An uncontrollable urge to urinate?	OAB-q - Uncontrollable Urge to Urinate
	OABQ0108		C103660	OABQ01-Urine Loss Strong Desire Urinate	The Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate?	OAB-q - Urine Loss Associated with a Strong Desire to Urinate
	OABQ0109		C103661	OABQ01-Carefully Plan Your Commute	The Overactive Bladder Questionnaire - Made you carefully plan your commute?	OAB-q - Carefully Plan Your Commute
	OABQ0110		C103662	OABQ01-Feel Drowsy or Sleepy During Day	The Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day?	OAB-q - Feel Drowsy or Sleepy During the Day
	OABQ0111		C103663	OABQ01-Plan 'Escape Routes' to Restrooms	The Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places?	OAB-q - Plan 'Escape Routes' to Restrooms
	OABQ0112		C103664	OABQ01-Caused You Distress	The Overactive Bladder Questionnaire - Caused you distress?	OAB-q - Caused You Distress
	OABQ0113		C103665	OABQ01-Frustrated You	The Overactive Bladder Questionnaire - Frustrated you?	OAB-q - Frustrated You
	OABQ0114		C103666	OABQ01-Feel Something Wrong with You	The Overactive Bladder Questionnaire - Made you feel like there is something wrong with you?	OAB-q - Feel Like There is Something Wrong with You
	OABQ0115		C103667	OABQ01-Interfered with Good Night's Rest	The Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest?	OAB-q - Interfered with a Good Night's Rest
	OABQ0116		C103668	OABQ01-Decrease Your Physical Activities	The Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)?	OAB-q - Decrease Your Physical Activities
	OABQ0117		C103669	OABQ01-Prevented From Feeling Rested	The Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning?	OAB-q - Prevented You From Feeling Rested Upon Waking
	OABQ0118		C103670	OABQ01-Frustrated Family and Friends	The Overactive Bladder Questionnaire - Frustrated your family and friends?	OAB-q - Frustrated Your Family and Friends
	OABQ0119		C103671	OABQ01-Caused You Anxiety or Worry	The Overactive Bladder Questionnaire - Caused you anxiety or worry?	OAB-q - Caused You Anxiety or Worry
	OABQ0120		C103672	OABQ01-Stay Home More Often Than Prefer	The Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer?	OAB-q - Stay Home More Often Than You Would Prefer
	OABQ0121		C103673	OABQ01-Adjust Travel Plans Near Restroom	The Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom?	OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom
	OABQ0122		C103674	OABQ01-Avoid Act Away From Restroom	The Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?	OAB-q - Avoid Activities Away From Restrooms
	OABQ0123		C103675	OABQ01-Amount of Time Spend in Restroom	The Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom?	OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
	OABQ0124		C103676	OABQ01-Awakened You During Sleep	The Overactive Bladder Questionnaire - Awakened you during sleep?	OAB-q - Awakened You During Sleep
	OABQ0125		C103677	OABQ01-Worry About Odor or Hygiene	The Overactive Bladder Questionnaire - Made you worry about odor or hygiene?	OAB-q - Made You Worry About Odor or Hygiene
	OABQ0126		C103678	OABQ01-Uncomfortable Travel with Others	The Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom?	OAB-q - Uncomfortable While Traveling With Others
	OABQ0127		C103679	OABQ01-Affected Relationships	The Overactive Bladder Questionnaire - Affected your relationships with family and friends?	OAB-q - Affected Your Relationships with Family and Friends
	OABQ0128		C103680	OABQ01-Decrease Participating Gatherings	The Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends?	OAB-q - Decrease Participating in Social Gatherings
	OABQ0129		C103681	OABQ01-Caused You Embarrassment	The Overactive Bladder Questionnaire - Caused you embarrassment?	OAB-q - Caused You Embarrassment
	OABQ0130		C103682	OABQ01-Interfered with Getting Sleep	The Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed?	OAB-q - Interfered with Getting Sleep
	OABQ0131		C103683	OABQ01-Caused Problems Partner/Spouse	The Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse?	OAB-q - Caused Problems with Your Partner or Spouse
	OABQ0132		C103684	OABQ01-Plan Activities More Carefully	The Overactive Bladder Questionnaire - Caused you to plan activities more carefully?	OAB-q - Plan Activities More Carefully
	OABQ0133		C103685	OABQ01-Locate Closest Restroom	The Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?	OAB-q - Locate Closest Restroom as Soon as You Arrive
Back to top
CL.C103474.OAB-Q TEST	QS-The Overactive Bladder Questionnaire Test Name (OAB-Q TEST)	text Extensible: No	C103474	QS-The Overactive Bladder Questionnaire Test Name	The Overactive Bladder Questionnaire test name.	CDISC Questionnaire OAB-q Test Name Terminology
	OABQ01-Accidental Loss of Urine		C103656	OABQ01-Accidental Loss of Urine	The Overactive Bladder Questionnaire - Accidental loss of small amounts of urine?	OAB-q - Accidental Loss of Urine
	OABQ01-Adjust Travel Plans Near Restroom		C103673	OABQ01-Adjust Travel Plans Near Restroom	The Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom?	OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom
	OABQ01-Affected Relationships		C103679	OABQ01-Affected Relationships	The Overactive Bladder Questionnaire - Affected your relationships with family and friends?	OAB-q - Affected Your Relationships with Family and Friends
	OABQ01-Amount of Time Spend in Restroom		C103675	OABQ01-Amount of Time Spend in Restroom	The Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom?	OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
	OABQ01-Avoid Act Away From Restroom		C103674	OABQ01-Avoid Act Away From Restroom	The Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?	OAB-q - Avoid Activities Away From Restrooms
	OABQ01-Awakened You During Sleep		C103676	OABQ01-Awakened You During Sleep	The Overactive Bladder Questionnaire - Awakened you during sleep?	OAB-q - Awakened You During Sleep
	OABQ01-Carefully Plan Your Commute		C103661	OABQ01-Carefully Plan Your Commute	The Overactive Bladder Questionnaire - Made you carefully plan your commute?	OAB-q - Carefully Plan Your Commute
	OABQ01-Caused Problems Partner/Spouse		C103683	OABQ01-Caused Problems Partner/Spouse	The Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse?	OAB-q - Caused Problems with Your Partner or Spouse
	OABQ01-Caused You Anxiety or Worry		C103671	OABQ01-Caused You Anxiety or Worry	The Overactive Bladder Questionnaire - Caused you anxiety or worry?	OAB-q - Caused You Anxiety or Worry
	OABQ01-Caused You Distress		C103664	OABQ01-Caused You Distress	The Overactive Bladder Questionnaire - Caused you distress?	OAB-q - Caused You Distress
	OABQ01-Caused You Embarrassment		C103681	OABQ01-Caused You Embarrassment	The Overactive Bladder Questionnaire - Caused you embarrassment?	OAB-q - Caused You Embarrassment
	OABQ01-Decrease Participating Gatherings		C103680	OABQ01-Decrease Participating Gatherings	The Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends?	OAB-q - Decrease Participating in Social Gatherings
	OABQ01-Decrease Your Physical Activities		C103668	OABQ01-Decrease Your Physical Activities	The Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)?	OAB-q - Decrease Your Physical Activities
	OABQ01-Feel Drowsy or Sleepy During Day		C103662	OABQ01-Feel Drowsy or Sleepy During Day	The Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day?	OAB-q - Feel Drowsy or Sleepy During the Day
	OABQ01-Feel Something Wrong with You		C103666	OABQ01-Feel Something Wrong with You	The Overactive Bladder Questionnaire - Made you feel like there is something wrong with you?	OAB-q - Feel Like There is Something Wrong with You
	OABQ01-Frequent Urination During Daytime		C103653	OABQ01-Frequent Urination During Daytime	The Overactive Bladder Questionnaire - Frequent urination during the daytime hours?	OAB-q - Frequent Urination During the Daytime
	OABQ01-Frustrated Family and Friends		C103670	OABQ01-Frustrated Family and Friends	The Overactive Bladder Questionnaire - Frustrated your family and friends?	OAB-q - Frustrated Your Family and Friends
	OABQ01-Frustrated You		C103665	OABQ01-Frustrated You	The Overactive Bladder Questionnaire - Frustrated you?	OAB-q - Frustrated You
	OABQ01-Interfered with Getting Sleep		C103682	OABQ01-Interfered with Getting Sleep	The Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed?	OAB-q - Interfered with Getting Sleep
	OABQ01-Interfered with Good Night's Rest		C103667	OABQ01-Interfered with Good Night's Rest	The Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest?	OAB-q - Interfered with a Good Night's Rest
	OABQ01-Locate Closest Restroom		C103685	OABQ01-Locate Closest Restroom	The Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?	OAB-q - Locate Closest Restroom as Soon as You Arrive
	OABQ01-Nighttime Urination		C103657	OABQ01-Nighttime Urination	The Overactive Bladder Questionnaire - Nighttime urination?	OAB-q - Nighttime Urination
	OABQ01-Plan 'Escape Routes' to Restrooms		C103663	OABQ01-Plan 'Escape Routes' to Restrooms	The Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places?	OAB-q - Plan 'Escape Routes' to Restrooms
	OABQ01-Plan Activities More Carefully		C103684	OABQ01-Plan Activities More Carefully	The Overactive Bladder Questionnaire - Caused you to plan activities more carefully?	OAB-q - Plan Activities More Carefully
	OABQ01-Prevented From Feeling Rested		C103669	OABQ01-Prevented From Feeling Rested	The Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning?	OAB-q - Prevented You From Feeling Rested Upon Waking
	OABQ01-Stay Home More Often Than Prefer		C103672	OABQ01-Stay Home More Often Than Prefer	The Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer?	OAB-q - Stay Home More Often Than You Would Prefer
	OABQ01-Sudden Urge to Urinate No Warning		C103655	OABQ01-Sudden Urge to Urinate No Warning	The Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning?	OAB-q - Sudden Urge to Urinate with Little or No Warning
	OABQ01-Uncomfortable Travel with Others		C103678	OABQ01-Uncomfortable Travel with Others	The Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom?	OAB-q - Uncomfortable While Traveling With Others
	OABQ01-Uncomfortable Urge to Urinate		C103654	OABQ01-Uncomfortable Urge to Urinate	The Overactive Bladder Questionnaire - An uncomfortable urge to urinate?	OAB-q - Uncomfortable Urge to Urinate
	OABQ01-Uncontrollable Urge to Urinate		C103659	OABQ01-Uncontrollable Urge to Urinate	The Overactive Bladder Questionnaire - An uncontrollable urge to urinate?	OAB-q - Uncontrollable Urge to Urinate
	OABQ01-Urine Loss Strong Desire Urinate		C103660	OABQ01-Urine Loss Strong Desire Urinate	The Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate?	OAB-q - Urine Loss Associated with a Strong Desire to Urinate
	OABQ01-Waking Up at Night had to Urinate		C103658	OABQ01-Waking Up at Night had to Urinate	The Overactive Bladder Questionnaire - Waking up at night because you had to urinate?	OAB-q - Waking Up at Night Because You had to Urinate
	OABQ01-Worry About Odor or Hygiene		C103677	OABQ01-Worry About Odor or Hygiene	The Overactive Bladder Questionnaire - Made you worry about odor or hygiene?	OAB-q - Made You Worry About Odor or Hygiene
Back to top
CL.C106657.TDI TESTCD	QS-Transition Dyspnea Index Questionnaire Test Code (TDI TESTCD)	text Extensible: No	C106657	QS-Transition Dyspnea Index Questionnaire Test Code	Transition Dyspnea Index test code.	CDISC Questionnaire TDI Test Code Terminology
	TDI0101		C106704	TDI01-Change in Functional Impairment	Transition Dyspnea Index - Change in functional impairment.	TDI - Change in Functional Impairment
	TDI0102		C106705	TDI01-Change in Magnitude of Task	Transition Dyspnea Index - Change in magnitude of task.	TDI - Change in Magnitude of Task
	TDI0103		C106706	TDI01-Change in Magnitude of Effort	Transition Dyspnea Index - Change in magnitude of effort.	TDI - Change in Magnitude of Effort
Back to top
CL.C106656.TDI TEST	QS-Transition Dyspnea Index Questionnaire Test Name (TDI TEST)	text Extensible: No	C106656	QS-Transition Dyspnea Index Questionnaire Test Name	Transition Dyspnea Index test name.	CDISC Questionnaire TDI Test Name Terminology
	TDI01-Change in Functional Impairment		C106704	TDI01-Change in Functional Impairment	Transition Dyspnea Index - Change in functional impairment.	TDI - Change in Functional Impairment
	TDI01-Change in Magnitude of Effort		C106706	TDI01-Change in Magnitude of Effort	Transition Dyspnea Index - Change in magnitude of effort.	TDI - Change in Magnitude of Effort
	TDI01-Change in Magnitude of Task		C106705	TDI01-Change in Magnitude of Task	Transition Dyspnea Index - Change in magnitude of task.	TDI - Change in Magnitude of Task
Back to top
CL.C100148.UPDRS TESTCD	QS-Unified Parkinson's Disease Rating Scale Test Code (UPDRS TESTCD)	text Extensible: No	C100148	QS-Unified Parkinson's Disease Rating Scale Test Code	Unified Parkinson's Disease Rating Scale test code.	CDISC Questionnaire UPDRS Test Code Terminology
	UPD101		C100901	UPD1-Mentation:Intellectual Impairment	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment.	UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
	UPD102		C100902	UPD1-Mentation:Thought Disorder	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder.	UPDRS - Mentation, Behavior and Mood: Thought Disorder
	UPD103		C100903	UPD1-Mentation:Depression	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression.	UPDRS - Mentation, Behavior and Mood: Depression
	UPD104		C100904	UPD1-Mentation:Motivation/Initiative	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative.	UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
	UPD105		C100905	UPD1-Activities:Speech	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech.	UPDRS - Activities of Daily Living: Speech
	UPD106		C100906	UPD1-Activities:Salivation	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation.	UPDRS - Activities of Daily Living: Salivation
	UPD107		C100907	UPD1-Activities:Swallowing	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing.	UPDRS - Activities of Daily Living: Swallowing
	UPD108		C100908	UPD1-Activities:Handwriting	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting.	UPDRS - Activities of Daily Living: Handwriting
	UPD109		C100909	UPD1-Activities:Cut Food/Handle Utensil	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils.	UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils
	UPD110		C100910	UPD1-Activities:Dressing	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing.	UPDRS - Activities of Daily Living: Dressing
	UPD111		C100911	UPD1-Activities:Hygiene	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene.	UPDRS - Activities of Daily Living: Hygiene
	UPD112		C100912	UPD1-Activities:Turn Bed/Adj Clothes	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes.	UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes
	UPD113		C100913	UPD1-Activities:Falling	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing).	UPDRS - Activities of Daily Living: Falling
	UPD114		C100914	UPD1-Activities:Freezing When Walking	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking.	UPDRS - Activities of Daily Living: Freezing When Walking
	UPD115		C100915	UPD1-Activities:Walking	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking.	UPDRS - Activities of Daily Living: Walking
	UPD116		C100916	UPD1-Activities:Tremor	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.).	UPDRS - Activities of Daily Living: Tremor
	UPD117		C100917	UPD1-Activities:Sensory Complaints	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism.	UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism
	UPD118		C100918	UPD1-Motor:Speech	Unified Parkinson's Disease Rating Scale - Motor examination: Speech.	UPDRS - Motor Examination: Speech
	UPD119		C100919	UPD1-Motor:Facial Expression	Unified Parkinson's Disease Rating Scale - Motor examination: Facial expression.	UPDRS - Motor Examination: Facial Expression
	UPD120A		C111585	UPD1-Motor:Tremor at Rest:Face Lips Chin	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin.	UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
	UPD120B		C111586	UPD1-Motor:Tremor at Rest:Hands: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right.	UPDRS - Motor Examination: Tremor at Rest, Hands, Right
	UPD120C		C111587	UPD1-Motor:Tremor at Rest:Hands: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left.	UPDRS - Motor Examination: Tremor at Rest, Hands, Left
	UPD120D		C111588	UPD1-Motor:Tremor at Rest:Feet: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right.	UPDRS - Motor Examination: Tremor at Rest, Feet, Right
	UPD120E		C111589	UPD1-Motor:Tremor at Rest:Feet: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left.	UPDRS - Motor Examination: Tremor at Rest, Feet, Left
	UPD121A		C111590	UPD1--Motor:Action Tremor:Hand: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right.	UPDRS - Motor Examination: Action Tremor, Hand, Right
	UPD121B		C111591	UPD1--Motor:Action Tremor:Hand: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left.	UPDRS - Motor Examination: Action Tremor, Hand, Left
	UPD122A		C111592	UPD1-Motor:Rigidity Neck	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck.	UPDRS - Motor Examination: Rigidity Neck
	UPD122B		C111593	UPD1-Motor:Rigidity Upper Extrem: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right.	UPDRS - Motor Examination: Rigidity Upper Extremity, Right
	UPD122C		C111594	UPD1-Motor:Rigidity Upper Extrem: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left.	UPDRS - Motor Examination: Rigidity Upper Extremity, Left
	UPD122D		C111595	UPD1-Motor:Rigidity Lower Extrem: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right.	UPDRS - Motor Examination: Rigidity Lower Extremity, Right
	UPD122E		C111596	UPD1-Motor:Rigidity Lower Extrem: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left.	UPDRS - Motor Examination: Rigidity Lower Extremity, Left
	UPD123A		C111597	UPD1-Motor:Finger Taps: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right.	UPDRS - Motor Examination: Finger Taps, Right
	UPD123B		C111598	UPD1-Motor:Finger Taps: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left.	UPDRS - Motor Examination: Finger Taps, Left
	UPD124A		C111599	UPD1-Motor:Hand Grips: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right.	UPDRS - Motor Examination: Hand Grips, Right
	UPD124B		C111600	UPD1-Motor:Hand Grips: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left.	UPDRS - Motor Examination: Hand Grips, Left
	UPD125A		C111601	UPD1-Motor:Hand Pronate/Supinate: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right.	UPDRS - Motor Examination: Hand Pronate/Supinate, Right
	UPD125B		C111602	UPD1-Motor:Hand Pronate/Supinate: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left.	UPDRS - Motor Examination: Hand Pronate/Supinate, Left
	UPD126A		C111603	UPD1-Motor:Leg Agility: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right.	UPDRS - Motor Examination: Leg Agility, Right
	UPD126B		C111604	UPD1-Motor:Leg Agility: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left.	UPDRS - Motor Examination: Leg Agility, Left
	UPD127		C100927	UPD1-Motor:Arising from Chair	Unified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.).	UPDRS - Motor Examination: Arising from Chair
	UPD128		C100928	UPD1-Motor:Posture	Unified Parkinson's Disease Rating Scale - Motor examination: Posture.	UPDRS - Motor Examination: Posture
	UPD129		C100929	UPD1-Motor:Gait	Unified Parkinson's Disease Rating Scale - Motor examination: Gait.	UPDRS - Motor Examination: Gait
	UPD130		C100930	UPD1-Motor:Postural Stability	Unified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.).	UPDRS - Motor Examination: Postural Stability
	UPD131		C100931	UPD1-Motor:Bradykinesia and Hypokinesia	Unified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.).	UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia
	UPD132		C100932	UPD1-Complications:Dyskinesias Duration	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.).	UPDRS - Complications of Therapy: Dyskinesias - Duration
	UPD133		C100933	UPD1-Complications:Dyskinesias Disable	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.).	UPDRS - Complications of Therapy: Dyskinesias - Disability
	UPD134		C100934	UPD1-Complications:Dyskinesias Painful	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias?	UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias
	UPD135		C100935	UPD1-Complications:Dyskinesias Dystonia	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.).	UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia
	UPD136		C100936	UPD1-Complications:Fluct Predictable	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable?	UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable
	UPD137		C100937	UPD1-Complications:Fluct Unpredictable	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable?	UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable
	UPD138		C100938	UPD1-Complications:Fluct Suddenly	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds?	UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden
	UPD139		C100939	UPD1-Complications:Fluct Average	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average?	UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day
	UPD140		C100940	UPD1-Complications:Anorex Nausea Vomit	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting?	UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting
	UPD141		C100941	UPD1-Complications:Insomnia Hypersomnol	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence?	UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances
	UPD142		C100942	UPD1-Complications:Symptom Orthostasis	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form).	UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis
	UPD142A		C111605	UPD1-Blood Pressure: Seated	Unified Parkinson's Disease Rating Scale - Blood pressure: Seated.	UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
	UPD142B		C111606	UPD1-Blood Pressure: Supine	Unified Parkinson's Disease Rating Scale - Blood pressure: Supine.	UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
	UPD142C		C111607	UPD1-Blood Pressure: Standing	Unified Parkinson's Disease Rating Scale - Blood pressure: Standing.	UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
	UPD142D		C111608	UPD1-Weight	Unified Parkinson's Disease Rating Scale - Weight.	UPDRS - Symptomatic Orthostasis: Weight
	UPD142E		C111609	UPD1-Pulse: Seated	Unified Parkinson's Disease Rating Scale - Pulse: Seated.	UPDRS - Symptomatic Orthostasis: Pulse, Seated
	UPD142F		C111610	UPD1-Pulse: Standing	Unified Parkinson's Disease Rating Scale - Pulse: Standing.	UPDRS - Symptomatic Orthostasis: Pulse, Standing
	UPD143		C100943	UPD1-Modified Hoehn and Yahr Staging	Unified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging.	UPDRS - Modified Hoehn and Yahr Staging
	UPD144A		C111611	UPD1-Schwab/England % ADL Score (PD)	Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD).	UPDRS - Schwab and England % ADL Score (PD)
	UPD144B		C111612	UPD1-Schwab/England % ADL (Dyskinesia)	Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia).	UPDRS - Schwab and England % ADL (With Dyskinesia)
	UPD145		C111613	UPD1-Mentation, Behavior, Mood Sub-Total	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total.	UPDRS - Mentation, Behavior and Mood Sub-total
	UPD146		C111614	UPD1-Activities Daily Living Sub-Total	Unified Parkinson's Disease Rating Scale - Activities of daily living sub-total.	UPDRS - Activities of Daily Living Sub-total
	UPD147		C111615	UPD1-Motor Examination Sub-Total	Unified Parkinson's Disease Rating Scale - Motor examination sub-total.	UPDRS - Motor Examination Sub-total
	UPD148		C111616	UPD1-UPDRS Total	Unified Parkinson's Disease Rating Scale - UPDRS total.	UPDRS - UPDRS Total
Back to top
CL.C100147.UPDRS TEST	QS-Unified Parkinson's Disease Rating Scale Test Name (UPDRS TEST)	text Extensible: No	C100147	QS-Unified Parkinson's Disease Rating Scale Test Name	Unified Parkinson's Disease Rating Scale test name.	CDISC Questionnaire UPDRS Test Name Terminology
	UPD1--Motor:Action Tremor:Hand: Left		C111591	UPD1--Motor:Action Tremor:Hand: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left.	UPDRS - Motor Examination: Action Tremor, Hand, Left
	UPD1--Motor:Action Tremor:Hand: Right		C111590	UPD1--Motor:Action Tremor:Hand: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right.	UPDRS - Motor Examination: Action Tremor, Hand, Right
	UPD1-Activities Daily Living Sub-Total		C111614	UPD1-Activities Daily Living Sub-Total	Unified Parkinson's Disease Rating Scale - Activities of daily living sub-total.	UPDRS - Activities of Daily Living Sub-total
	UPD1-Activities:Cut Food/Handle Utensil		C100909	UPD1-Activities:Cut Food/Handle Utensil	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils.	UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils
	UPD1-Activities:Dressing		C100910	UPD1-Activities:Dressing	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing.	UPDRS - Activities of Daily Living: Dressing
	UPD1-Activities:Falling		C100913	UPD1-Activities:Falling	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing).	UPDRS - Activities of Daily Living: Falling
	UPD1-Activities:Freezing When Walking		C100914	UPD1-Activities:Freezing When Walking	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking.	UPDRS - Activities of Daily Living: Freezing When Walking
	UPD1-Activities:Handwriting		C100908	UPD1-Activities:Handwriting	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting.	UPDRS - Activities of Daily Living: Handwriting
	UPD1-Activities:Hygiene		C100911	UPD1-Activities:Hygiene	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene.	UPDRS - Activities of Daily Living: Hygiene
	UPD1-Activities:Salivation		C100906	UPD1-Activities:Salivation	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation.	UPDRS - Activities of Daily Living: Salivation
	UPD1-Activities:Sensory Complaints		C100917	UPD1-Activities:Sensory Complaints	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism.	UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism
	UPD1-Activities:Speech		C100905	UPD1-Activities:Speech	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech.	UPDRS - Activities of Daily Living: Speech
	UPD1-Activities:Swallowing		C100907	UPD1-Activities:Swallowing	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing.	UPDRS - Activities of Daily Living: Swallowing
	UPD1-Activities:Tremor		C100916	UPD1-Activities:Tremor	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.).	UPDRS - Activities of Daily Living: Tremor
	UPD1-Activities:Turn Bed/Adj Clothes		C100912	UPD1-Activities:Turn Bed/Adj Clothes	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes.	UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes
	UPD1-Activities:Walking		C100915	UPD1-Activities:Walking	Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking.	UPDRS - Activities of Daily Living: Walking
	UPD1-Blood Pressure: Seated		C111605	UPD1-Blood Pressure: Seated	Unified Parkinson's Disease Rating Scale - Blood pressure: Seated.	UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
	UPD1-Blood Pressure: Standing		C111607	UPD1-Blood Pressure: Standing	Unified Parkinson's Disease Rating Scale - Blood pressure: Standing.	UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
	UPD1-Blood Pressure: Supine		C111606	UPD1-Blood Pressure: Supine	Unified Parkinson's Disease Rating Scale - Blood pressure: Supine.	UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
	UPD1-Complications:Anorex Nausea Vomit		C100940	UPD1-Complications:Anorex Nausea Vomit	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting?	UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting
	UPD1-Complications:Dyskinesias Disable		C100933	UPD1-Complications:Dyskinesias Disable	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.).	UPDRS - Complications of Therapy: Dyskinesias - Disability
	UPD1-Complications:Dyskinesias Duration		C100932	UPD1-Complications:Dyskinesias Duration	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.).	UPDRS - Complications of Therapy: Dyskinesias - Duration
	UPD1-Complications:Dyskinesias Dystonia		C100935	UPD1-Complications:Dyskinesias Dystonia	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.).	UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia
	UPD1-Complications:Dyskinesias Painful		C100934	UPD1-Complications:Dyskinesias Painful	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias?	UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias
	UPD1-Complications:Fluct Average		C100939	UPD1-Complications:Fluct Average	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average?	UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day
	UPD1-Complications:Fluct Predictable		C100936	UPD1-Complications:Fluct Predictable	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable?	UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable
	UPD1-Complications:Fluct Suddenly		C100938	UPD1-Complications:Fluct Suddenly	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds?	UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden
	UPD1-Complications:Fluct Unpredictable		C100937	UPD1-Complications:Fluct Unpredictable	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable?	UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable
	UPD1-Complications:Insomnia Hypersomnol		C100941	UPD1-Complications:Insomnia Hypersomnol	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence?	UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances
	UPD1-Complications:Symptom Orthostasis		C100942	UPD1-Complications:Symptom Orthostasis	Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form).	UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis
	UPD1-Mentation, Behavior, Mood Sub-Total		C111613	UPD1-Mentation, Behavior, Mood Sub-Total	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total.	UPDRS - Mentation, Behavior and Mood Sub-total
	UPD1-Mentation:Depression		C100903	UPD1-Mentation:Depression	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression.	UPDRS - Mentation, Behavior and Mood: Depression
	UPD1-Mentation:Intellectual Impairment		C100901	UPD1-Mentation:Intellectual Impairment	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment.	UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
	UPD1-Mentation:Motivation/Initiative		C100904	UPD1-Mentation:Motivation/Initiative	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative.	UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
	UPD1-Mentation:Thought Disorder		C100902	UPD1-Mentation:Thought Disorder	Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder.	UPDRS - Mentation, Behavior and Mood: Thought Disorder
	UPD1-Modified Hoehn and Yahr Staging		C100943	UPD1-Modified Hoehn and Yahr Staging	Unified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging.	UPDRS - Modified Hoehn and Yahr Staging
	UPD1-Motor Examination Sub-Total		C111615	UPD1-Motor Examination Sub-Total	Unified Parkinson's Disease Rating Scale - Motor examination sub-total.	UPDRS - Motor Examination Sub-total
	UPD1-Motor:Arising from Chair		C100927	UPD1-Motor:Arising from Chair	Unified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.).	UPDRS - Motor Examination: Arising from Chair
	UPD1-Motor:Bradykinesia and Hypokinesia		C100931	UPD1-Motor:Bradykinesia and Hypokinesia	Unified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.).	UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia
	UPD1-Motor:Facial Expression		C100919	UPD1-Motor:Facial Expression	Unified Parkinson's Disease Rating Scale - Motor examination: Facial expression.	UPDRS - Motor Examination: Facial Expression
	UPD1-Motor:Finger Taps: Left		C111598	UPD1-Motor:Finger Taps: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left.	UPDRS - Motor Examination: Finger Taps, Left
	UPD1-Motor:Finger Taps: Right		C111597	UPD1-Motor:Finger Taps: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right.	UPDRS - Motor Examination: Finger Taps, Right
	UPD1-Motor:Gait		C100929	UPD1-Motor:Gait	Unified Parkinson's Disease Rating Scale - Motor examination: Gait.	UPDRS - Motor Examination: Gait
	UPD1-Motor:Hand Grips: Left		C111600	UPD1-Motor:Hand Grips: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left.	UPDRS - Motor Examination: Hand Grips, Left
	UPD1-Motor:Hand Grips: Right		C111599	UPD1-Motor:Hand Grips: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right.	UPDRS - Motor Examination: Hand Grips, Right
	UPD1-Motor:Hand Pronate/Supinate: Left		C111602	UPD1-Motor:Hand Pronate/Supinate: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left.	UPDRS - Motor Examination: Hand Pronate/Supinate, Left
	UPD1-Motor:Hand Pronate/Supinate: Right		C111601	UPD1-Motor:Hand Pronate/Supinate: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right.	UPDRS - Motor Examination: Hand Pronate/Supinate, Right
	UPD1-Motor:Leg Agility: Left		C111604	UPD1-Motor:Leg Agility: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left.	UPDRS - Motor Examination: Leg Agility, Left
	UPD1-Motor:Leg Agility: Right		C111603	UPD1-Motor:Leg Agility: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right.	UPDRS - Motor Examination: Leg Agility, Right
	UPD1-Motor:Postural Stability		C100930	UPD1-Motor:Postural Stability	Unified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.).	UPDRS - Motor Examination: Postural Stability
	UPD1-Motor:Posture		C100928	UPD1-Motor:Posture	Unified Parkinson's Disease Rating Scale - Motor examination: Posture.	UPDRS - Motor Examination: Posture
	UPD1-Motor:Rigidity Lower Extrem: Left		C111596	UPD1-Motor:Rigidity Lower Extrem: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left.	UPDRS - Motor Examination: Rigidity Lower Extremity, Left
	UPD1-Motor:Rigidity Lower Extrem: Right		C111595	UPD1-Motor:Rigidity Lower Extrem: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right.	UPDRS - Motor Examination: Rigidity Lower Extremity, Right
	UPD1-Motor:Rigidity Neck		C111592	UPD1-Motor:Rigidity Neck	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck.	UPDRS - Motor Examination: Rigidity Neck
	UPD1-Motor:Rigidity Upper Extrem: Left		C111594	UPD1-Motor:Rigidity Upper Extrem: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left.	UPDRS - Motor Examination: Rigidity Upper Extremity, Left
	UPD1-Motor:Rigidity Upper Extrem: Right		C111593	UPD1-Motor:Rigidity Upper Extrem: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right.	UPDRS - Motor Examination: Rigidity Upper Extremity, Right
	UPD1-Motor:Speech		C100918	UPD1-Motor:Speech	Unified Parkinson's Disease Rating Scale - Motor examination: Speech.	UPDRS - Motor Examination: Speech
	UPD1-Motor:Tremor at Rest:Face Lips Chin		C111585	UPD1-Motor:Tremor at Rest:Face Lips Chin	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin.	UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
	UPD1-Motor:Tremor at Rest:Feet: Left		C111589	UPD1-Motor:Tremor at Rest:Feet: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left.	UPDRS - Motor Examination: Tremor at Rest, Feet, Left
	UPD1-Motor:Tremor at Rest:Feet: Right		C111588	UPD1-Motor:Tremor at Rest:Feet: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right.	UPDRS - Motor Examination: Tremor at Rest, Feet, Right
	UPD1-Motor:Tremor at Rest:Hands: Left		C111587	UPD1-Motor:Tremor at Rest:Hands: Left	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left.	UPDRS - Motor Examination: Tremor at Rest, Hands, Left
	UPD1-Motor:Tremor at Rest:Hands: Right		C111586	UPD1-Motor:Tremor at Rest:Hands: Right	Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right.	UPDRS - Motor Examination: Tremor at Rest, Hands, Right
	UPD1-Pulse: Seated		C111609	UPD1-Pulse: Seated	Unified Parkinson's Disease Rating Scale - Pulse: Seated.	UPDRS - Symptomatic Orthostasis: Pulse, Seated
	UPD1-Pulse: Standing		C111610	UPD1-Pulse: Standing	Unified Parkinson's Disease Rating Scale - Pulse: Standing.	UPDRS - Symptomatic Orthostasis: Pulse, Standing
	UPD1-Schwab/England % ADL (Dyskinesia)		C111612	UPD1-Schwab/England % ADL (Dyskinesia)	Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia).	UPDRS - Schwab and England % ADL (With Dyskinesia)
	UPD1-Schwab/England % ADL Score (PD)		C111611	UPD1-Schwab/England % ADL Score (PD)	Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD).	UPDRS - Schwab and England % ADL Score (PD)
	UPD1-UPDRS Total		C111616	UPD1-UPDRS Total	Unified Parkinson's Disease Rating Scale - UPDRS total.	UPDRS - UPDRS Total
	UPD1-Weight		C111608	UPD1-Weight	Unified Parkinson's Disease Rating Scale - Weight.	UPDRS - Symptomatic Orthostasis: Weight
Back to top
CL.C103489.UPS TESTCD	QS-Urgency Perception Scale Questionnaire Test Code (UPS TESTCD)	text Extensible: No	C103489	QS-Urgency Perception Scale Questionnaire Test Code	Urgency Perception Scale test code.	CDISC Questionnaire UPS Test Code Terminology
	UPS0101		C103761	UPS01-Describe Your Desire to Urinate	Urgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate.	UPS - Describe Your Experience When You Desire to Urinate
Back to top
CL.C103488.UPS TEST	QS-Urgency Perception Scale Questionnaire Test Name (UPS TEST)	text Extensible: No	C103488	QS-Urgency Perception Scale Questionnaire Test Name	Urgency Perception Scale test name.	CDISC Questionnaire UPS Test Name Terminology
	UPS01-Describe Your Desire to Urinate		C103761	UPS01-Describe Your Desire to Urinate	Urgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate.	UPS - Describe Your Experience When You Desire to Urinate
Back to top
CL.C100176.WPAI-SHP TESTCD	QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code (WPAI-SHP TESTCD)	text Extensible: No	C100176	QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test code.	CDISC Questionnaire WPAI:SHP v2.0 Test Code Terminology
	WPAI0101		C100949	WPAI01-Currently Employed	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)?	WPAI:SHP v2.0 - Currently Employed
	WPAI0102		C100950	WPAI01-Missed Work Hours Due to Problem	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem?	WPAI:SHP v2.0 - Missed Work Hours Due to Problem
	WPAI0103		C100951	WPAI01-Missed Work Hours Due to Other	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?	WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons
	WPAI0104		C100952	WPAI01-Hours Actually Worked	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work?	WPAI:SHP v2.0 - Hours Actually Worked
	WPAI0105		C100953	WPAI01-Problem Affect Productivity	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working?	WPAI:SHP v2.0 - Problem Affects Productivity
	WPAI0106		C100954	WPAI01-Problem Affect Reg Daily Activity	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job?	WPAI:SHP v2.0 - Problem Affects Regular Daily Activity
Back to top
CL.C100175.WPAI-SHP TEST	QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name (WPAI-SHP TEST)	text Extensible: No	C100175	QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test name.	CDISC Questionnaire WPAI:SHP v2.0 Test Name Terminology
	WPAI01-Currently Employed		C100949	WPAI01-Currently Employed	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)?	WPAI:SHP v2.0 - Currently Employed
	WPAI01-Hours Actually Worked		C100952	WPAI01-Hours Actually Worked	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work?	WPAI:SHP v2.0 - Hours Actually Worked
	WPAI01-Missed Work Hours Due to Other		C100951	WPAI01-Missed Work Hours Due to Other	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?	WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons
	WPAI01-Missed Work Hours Due to Problem		C100950	WPAI01-Missed Work Hours Due to Problem	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem?	WPAI:SHP v2.0 - Missed Work Hours Due to Problem
	WPAI01-Problem Affect Productivity		C100953	WPAI01-Problem Affect Productivity	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working?	WPAI:SHP v2.0 - Problem Affects Productivity
	WPAI01-Problem Affect Reg Daily Activity		C100954	WPAI01-Problem Affect Reg Daily Activity	Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job?	WPAI:SHP v2.0 - Problem Affects Regular Daily Activity
Back to top