CDE Detailed Report

Disease: Sport Related Concussion
Subdomain Name: Sleep
CRF: Epworth Sleepiness Scale (ESS)

Displaying 1 - 9 of 9
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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C54701 Epworth Sleepiness Scale (ESS) - Doze off likelihood recline rest afternoon code ESSDozOffLiklhdRclnRstAftnCode The code denoting the subect/participant's self-reported likelihood of dozing off while lying down to rest in the afternoon, as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while lying down to rest in the afternoon, as part of the Epworth Sleepiness Scale (ESS) Lying down to rest in the afternoon when circumstances permit 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54702 Epworth Sleepiness Scale (ESS) - Doze off likelihood sit talk code ESSDozOffLiklhdSitTalkCode The code denoting the subect/participant's self-reported likelihood of dozing off while sitting and talking, as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while sitting and talking, as part of the Epworth Sleepiness Scale (ESS) Sitting and talking to someone 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54703 Epworth Sleepiness Scale (ESS) - Doze off likelihood sit after lunch code ESSDozOffLiklhdSitAftrLnchCode The code denoting the subect/participant's self-reported likelihood of dozing off while sitting quietly after a lunch that did not include alcohol, as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while sitting quietly after a lunch that did not include alcohol, as part of the Epworth Sleepiness Scale (ESS) Sitting quietly after a lunch without alcohol 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54704 Epworth Sleepiness Scale (ESS) - Doze off likelihood sit car stop traffic code ESSDozOffLiklhdStCrStpTrfcCode The code denoting the subect/participant's self-reported likelihood of dozing off while sitting in a car stopped in traffic, as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while sitting in a car stopped in traffic, as part of the Epworth Sleepiness Scale (ESS) In a car, while stopped for a few minutes in traffic 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54705 Epworth Sleepiness Scale (ESS) - Total score ESSTotalScore Total score of all questions on the Epworth Sleepiness Scale (ESS) Total score of all questions on the Epworth Sleepiness Scale (ESS) Total score Numeric Values Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 12:07:44.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Free-Form Entry

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C54697 Epworth Sleepiness Scale (ESS) - Doze off likelihood sit read code ESSDozOffLiklhdSitReadCode The code denoting the subect/participant's self-reported likelihood of dozing off while sitting and reading, as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while sitting and reading, as part of the Epworth Sleepiness Scale (ESS) Sitting and reading 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54698 Epworth Sleepiness Scale (ESS) - Doze off likelihood watch television code ESSDozOffLiklhdWatchTVCode The code denoting the subect/participant's self-reported likelihood of dozing off while watching television (TV), as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while watching television (TV), as part of the Epworth Sleepiness Scale (ESS) Watching TV 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54699 Epworth Sleepiness Scale (ESS) - Doze off likelihood sit inactive public place code ESSDozOffLiklhdStInactPbPlCode The code denoting the subect/participant's self-reported likelihood of dozing off while sitting inactive in a public place (for example during a meeting or movie), as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while sitting inactive in a public place (for example during a meeting or movie), as part of the Epworth Sleepiness Scale (ESS) Sitting inactive in a public place (e.g., a theater or a meeting) 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

C54700 Epworth Sleepiness Scale (ESS) - Doze off likelihood car passenger code ESSDozOffLiklhdCarPssngrCode The code denoting the subect/participant's self-reported likelihood of dozing off while a passenger in a car, as part of the Epworth Sleepiness Scale (ESS) The code denoting the subect/participant's self-reported likelihood of dozing off while a passenger in a car, as part of the Epworth Sleepiness Scale (ESS) As a passenger in a car for an hour without a break 0;1;2;3 No chance of dozing;Slight chance of dozing;Moderate chance of dozing;High chance of dozing Numeric Values

How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feeling tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whether or not you would have: ? No chance of dozing =0 ? Slight chance of dozing =1 ? Moderate chance of dozing =2 ? High chance of dozing =3

Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep 1991; 14(6):540-5. Adult Exploratory 1.00 2017-04-10 11:48:33.0 Epworth Sleepiness Scale (ESS) - Adult Version Sleep Outcomes and End Points

Single Pre-Defined Value Selected

CSV