CDE Detailed Report
Disease: Spinal Cord Injury
Sub-Domain: Quality of Life/Patient Reported Outcomes
CRF: Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version
Displaying 1 - 27 of 27
Sub-Domain: Quality of Life/Patient Reported Outcomes
CRF: Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version
Displaying 1 - 27 of 27
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C07116 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Off bed day hour value | CHARTSFOffBdDyHrVal | Number of hours the subject spends out of bed on a typical day, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of hours the subject spends out of bed on a typical day, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | On a typical day, how many hours are you out of bed? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 24 | hour | |||||||
| C07127 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Living with relatives value | CHARTSFLvngWthReltvVal | Number of relatives the subject lives with, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of relatives the subject lives with, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Of the people you live with, how many (others) are relatives? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 99 | ||||||||
| C19547 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Unreimbursed medical care expenses indicator | CHARTSFReimbrsdMedCrExpnsInd | Indicator of how much money the subject spent for medical care expenses last year and did not get reimbursed for, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of how much money the subject spent for medical care expenses last year and did not get reimbursed for, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Approximately how much did you pay last year for medical care expenses? (Consider any amounts paid by yourself or the family members in your household and not reimbursed by insurance or benefits). "Would you say your unreimbursed medical expenses are…" | Less than 1000;1,000–2,500;2,500–5,000;5,000–10,000;10,000 or more | Less than 1000;1,000–2,500;2,500–5,000;5,000–10,000;10,000 or more | Alphanumeric |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07117 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Outside week day value | CHARTSFOutsdWkDyVal | Number of days the subject spends out of the house and go somewhere, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of days the subject spends out of the house and go somewhere, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | In a typical week, how many days do you get out of your house and go somewhere? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 7 | day | |||||||
| C07128 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Business associate visit month value | CHARTSFBusnssAssctVstMoVal | Number of business or organizational associates the subject visits per month, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of business or organizational associates the subject visits per month, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many business or organizational associates do you visit, phone, or write to at least once a month? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 25 | ||||||||
| C07118 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Outside year night indicator | CHARTSFOutsdYrNgtInd | Indicator of how many days the subject spent away from home, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of how many days the subject spent away from home, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | In the last year, how many nights have you spent away from your home (excluding hospitalizations?) | 0;1;3;5 | None;1-2;3-4;5 or more | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C07129 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Friends visit month value | CHARTSFFrndVstMoVal | Number of friends the subject visits per month, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of friends the subject visits per month, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many friends (non-relatives contacted outside business or organizational settings) do you visit, phone, or write to at least once a month? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 65 | ||||||||
| C07119 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paid job week hour value | CHARTSFPaidJbWkHrVal | Number of hours the subject spends working in a paid job per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of hours the subject spends working in a paid job per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many hours per week do you spend working in a job for which you get paid? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 168 | hour | |||||||
| C07130 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Strangers conversation month indicator | CHARTSFStrngrConvstnMoInd | Indicator of how often the subject spoke to strangers in the last month, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of how often the subject spoke to strangers in the last month, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | With how many strangers have you initiated a conversation with in the last month (for example, to ask information or place an order)? | 0;1;3;6 | None;1-2;3-5;6 or more | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C07120 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paid job occupation text | CHARTSFPaidJbOccptnTxt | Text of paid occupation the subject has, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Text of paid occupation the subject has, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Occupation: | Alphanumeric |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points | 255 |
Free-Form Entry |
hour | ||||||||
| C07133 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Physical Independence Score | CHARTSFPhysIndependScore | Total physical independence score (0-100) | Total physical independence score (0-100) | Physical Independence Score | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 100 | ||||||||
| C07121 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Academic program week hour value | CHARTSFAcadmcProgrmWkHrVal | Number of hours the subject spends in school for a degree or other technical training program per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of hours the subject spends in school for a degree or other technical training program per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many hours per week do you spend in school working toward a degree or in an accredited technical training program (including hours in class and studying)? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 168 | hour | CHSF101A and CHSF201A | ||||||
| C07134 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Cognitive Independence Score | CHARTSFCogIndependScore | Total cognitive independence score (0-100) | Total cognitive independence score (0-100) | Cognitive Independence Score | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 100 | ||||||||
| C07122 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Home making week hour value | CHARTSFHmMkngHrVal | Number of hours the subject spends for home making activities per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of hours the subject spends for home making activities per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 168 | hour | |||||||
| C07135 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Mobility Score | CHARTSFMobilityScore | Total mobility score (0-100) | Total mobility score (0-100) | Mobility Score | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 100 | ||||||||
| C07112 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paid physical assistance hour value | CHARTSFPaidPhysAssstncHrVal | Number of paid physical assistance hours the subject receives in a typical day, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of paid physical assistance hours the subject receives in a typical day, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | 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) | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 24 | hour | CHSF101A and CHSF201A | ||||||
| C07123 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Home improvement week hour value | CHARTSFHmImprvmntWkHrVal | Number of hours the subject spends for home maintenance activities per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of hours the subject spends for home maintenance activities per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 168 | hour | |||||||
| C07136 | Craig Handicap and Assessment Reporting Technique (CHART-SF) -Occupation Score | CHARTSFOccupScore | Total occupation score (0-100) | Total occupation score (0-100) | Occupation Score | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 100 | ||||||||
| C07113 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Unpaid physical assistance hour value | CHARTSFUnpdPhysAssstncHrVal | Number of unpaid physical assistance hours the subjects needs in a typical day, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of unpaid physical assistance hours the subjects needs in a typical day, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | 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) | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 24 | hour | CHSF101B and CHSF201B | ||||||
| C07124 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Recreational activities week hour value | CHARTSFRecrtnlActWkHrVal | Number of hours the subject spends for recreational activities per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of hours the subject spends for recreational activities per week, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? Please do not include time spent watching TV or listening to the radio. | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 168 | hour | |||||||
| C07137 | Craig Handicap and Assessment Reporting Technique (CHART-SF) -Social Integration Score | CHARTSFSocialIntgratnScore | Total social integration score (0-100) | Total social integration score (0-100) | Social Integration Score | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 100 | ||||||||
| C07114 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Home activities assistance indicator | CHARTSFHmActAssstncInd | Indicator of assistance the subject receives in the subject's home with activities, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of assistance the subject receives in the subject's home with activities, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How much time is someone with you in your home to assist them with activities that require remembering, decision making, or judgment? | 1;2;3;4;5;6 | Someone else is always with me to observe or supervise.;Someone else is always around, but they only check on me now and then.;Sometimes I am left alone for an hour or two.;Sometimes I am left alone for most of the day.;I have been left alone all day and all night, but someone checks in on me.;I am left alone without anyone checking on me. | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
||||||||
| C07125 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - People living with subject value | CHARTSFPplLvngSubVal | Number of people the subject lives with, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Number of people the subject lives with, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How many people do you live with? | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 99 | ||||||||
| C07138 | Craig Handicap and Assessment Reporting Technique (CHART-SF) -Economic Self Sufficiency Score | CHARTSFEconSelfSufficScore | Total economic self-sufficiency score (0-100) | Total economic self-sufficiency score (0-100) | Economic Self-Sufficiency Score | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
0 | 100 | ||||||||
| C07115 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Outside activities assistance indicator | CHARTSFOutsdActAssstncInd | Indicator of assistance the subject receives outside of the subject's home with activities, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of assistance the subject receives outside of the subject's home with activities, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | How much of the time is someone with you to help with remembering, decision making, or judgment when you go away from your home? | 1;2;3;4 | I am restricted from leaving, even with someone else.;Someone is always with me to help with remembering, decision making or judgment when I go anywhere.;I go to places on my own as long as they are familiar.;I do not need help going anywhere. | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C07126 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Spouse significant other indicator | CHARTSFSpseSignfcntOthrInd | Indicator of if the subject lives with spouse or significant other, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of if the subject lives with spouse or significant other, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Is one of them your spouse or significant other? | 1;0;9 | Yes;No;Not applicable | Numeric Values |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C19546 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Combined family income indicator | CHARTSFCombndFmlyIncInd | Indicator of subject and the subject's family combined income in the last year, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Indicator of subject and the subject's family combined income in the last year, as part of the Craig Handicap and Assessment Reporting Technique (CHART-SF) | Approximately what was the combined annual income, in the last year, of all family members in your household? (consider all sources including wages and earnings, disability benefits, pension and retirement income, income from court settlements, investment and trust funds, child support and alimony, contributions from relatives, and any other source.) | Less than 10,000;10,000–15,000;15,000–20,000;20,000–25,000;25,000–35,000;35,000–50,000;50,000–75,000;75,000 or more | Less than 10,000;10,000–15,000;15,000–20,000;20,000–25,000;25,000–35,000;35,000–50,000;50,000–75,000;75,000 or more | Alphanumeric |
Refer to instructions in user manual |
Whiteneck G, Charlifue S, Gerhart K, Overholser J, Richardson G. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-526. | Adult | Supplemental | 3.00 | 2013-07-19 21:21:51.533 | Craig Handicap and Assessment Reporting Technique (CHART-SF) - Paper version | Quality of Life/Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
