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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Headache
Sub-Domain: Activities of Daily Living/Performance
CRF: Functional Disability Inventory - Parent Form (FDI)
Item count: 15 (15 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C14656
Functional Disability Inventory (FDI) - parent form child difficulty bathroom walk scale
FDIPFChldDfcltBthrmWalkScale
Scale determining level of physical trouble or difficulty child experiences when walking to the bathroom, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty walking to the bathroom?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q1
 
Single Pre-Defined Value Selected
       
C14657
Functional Disability Inventory (FDI) - parent form child difficulty stair walk scale
FDIPFChldDfcltStairWlkScale
Scale determining level of physical trouble or difficulty child experiences when walking up stairs, as a part of the Functional Disability (FDI) Parent Form.
Would your child have had physical trouble or difficulty walking up stairs?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q2
 
Single Pre-Defined Value Selected
       
C14658
Functional Disability Inventory (FDI) - parent form child difficulty friend activity scale
FDIPFChldDfcltFrndActScale
Scale determining level of physical trouble or difficulty child experiences when doing something with a friend, as a part of the Functional Disability (FDI) Parent Form.
Would your child have had physical trouble or difficulty doing something with a friend (For example, playing a game)?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q3
 
Single Pre-Defined Value Selected
       
C14659
Functional Disability Inventory (FDI) - parent form child difficulty chore scale
FDIPFChldDfcltChoreScale
Scale determining level of physical trouble or difficulty child experiences when doing chores at home, as a part of the Functional Disability (FDI) Parent Form.
Would your child have had physical trouble or difficulty doing chores at home?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q4
 
Single Pre-Defined Value Selected
       
C14660
Functional Disability Inventory (FDI) - parent form child difficulty eat meal scale
FDIPFChldDfcltEatMealScale
Scale determining level of physical trouble or difficulty child experiences when eating regular meals, as a part of the Functional Disability (FDI) Parent Form.
Would your child have had physical trouble or difficulty eating regular meals?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q5
 
Single Pre-Defined Value Selected
       
C14661
Functional Disability Inventory (FDI) - parent form child difficulty up all day scale
FDIPFChldDfcltUpAllDayScale
Scale determining level of physical trouble or difficulty child experiences when being up all day without a nap or rest, as a part of the Functional Disability (FDI) Parent Form.
Would your child have had physical trouble or difficulty being up all day without a nap or rest?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q6
 
Single Pre-Defined Value Selected
       
C14662
Functional Disability Inventory (FDI) - parent form child difficulty riding bus car scale
FDIPFChldDfcltRidBusCarScale
Scale determining level of physical trouble or difficulty child experiences when riding the school bus or traveling in the car, as a part of the Functional Disability (FDI) Parent Form.
Would your child have had physical trouble or difficulty riding the school bus or traveling in the car?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q7
 
Single Pre-Defined Value Selected
       
C14663
Functional Disability Inventory (FDI) - parent form child difficulty school all day scale
FDIPFChldDfcltSchlAllDayScale
Scale determining level of physical trouble or difficulty child experiences when being at school all day, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty being at school all day.
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q8
 
Single Pre-Defined Value Selected
       
C14664
Functional Disability Inventory (FDI) - parent form child difficulty sports scale
FDIPFChldDfcltSportScale
Scale determining level of physical trouble or difficulty child experiences doing the activities in gym class, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty doing the activities in gym class (or playing sports)?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q9
 
Single Pre-Defined Value Selected
       
C14665
Functional Disability Inventory (FDI) - parent form child difficulty read homework scale
FDIPFChldDfcltReadHmwrkScale
Scale determining level of physical trouble or difficulty child experiences reading or doing homework, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty reading or doing homework?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q10
 
Single Pre-Defined Value Selected
       
C14666
Functional Disability Inventory (FDI) - parent form child difficulty watch tv scale
FDIPFChldDfcltWtchTvScale
Scale determining level of physical trouble or difficulty child experiences watching tv, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty watching TV?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q11
 
Single Pre-Defined Value Selected
       
C14667
Functional Disability Inventory (FDI) - parent form child difficulty walk football field scale
FDIPFChldDfcltWlkFtblFldScale
Scale determining level of physical trouble or difficulty child experiences walking the length of a football field, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty walking the length of a football field?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q12
 
Single Pre-Defined Value Selected
       
C14668
Functional Disability Inventory (FDI) - parent form child difficulty run football field scale
FDIPFChldDfcltRunFtblFldScale
Scale determining level of physical trouble or difficulty child experiences running the length of a football field, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty running the length of a football field?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q13
 
Single Pre-Defined Value Selected
       
C14669
Functional Disability Inventory (FDI) - parent form child difficulty shopping scale
FDIPFChldDfcltShopScale
Scale determining level of physical trouble or difficulty child experiences going shopping, as a part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty going shopping?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q14
 
Single Pre-Defined Value Selected
       
C14670
Functional Disability Inventory (FDI) - parent form child difficulty sleep scale
FDIPFChldDfcltSlpScale
Scale determining level of physical trouble or difficulty child experiences getting to sleep at night and staying asleep, as part of the Functional Disability (FDI) Parent Form
Would your child have had physical trouble or difficulty getting to sleep at night and staying asleep?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Adult
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Parent Form (FDI)
Activities of Daily Living/Performance
Outcomes and End Points
FDI-Parent Q15
 
Single Pre-Defined Value Selected
       
06-16-2019
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