CDE Detailed Report
Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Quality of Life/Patient Reported Outcomes
CRF: Functional Disability Inventory - Parent Form (FDI)
Displaying 1 - 15 of 15
Sub-Domain: Quality of Life/Patient Reported Outcomes
CRF: Functional Disability Inventory - Parent Form (FDI)
Displaying 1 - 15 of 15
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 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 For | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | Scale determining level of physical trouble or difficulty child experiences going shopping, as a part of the Functional Disability (FDI) Parent For | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | Scale determining level of physical trouble or difficulty child experiences when doing chores at home, as a part of the Functional Disability (FDI) Parent For | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | Scale determining level of physical trouble or difficulty child experiences when eating regular meals, as a part of the Functional Disability (FDI) Parent For | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 For | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 For | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| 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 | 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 | 3.00 | 2013-07-16 14:01:43.01 | Functional Disability Inventory - Parent Form (FDI) | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
