CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank

13 results.
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 Source Form Set Form Field
C58652 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain bad stop activity past 7 day frequency scale ASCQMePnBdStopActPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she had to stop what he or she was doing, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she had to stop what he or she was doing, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have pain so bad that you had to stop what you were doing? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Short Form PainImpactQ10
C58653 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain bad difficult finish activity past 7 day frequency scale ASCQMePnBdDifFinActPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she had difficulty finishing what he or she was doing, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she had difficulty finishing what he or she was doing, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have pain so bad that it was hard to finish what you were doing? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Short Form PainImpactQ12
C58688 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain free total past 7 day frequency scale ASCQMePnFreeTotalPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant was totally pain free, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant was totally pain free, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often were you totally pain free? 5;4;3;2;1 Always;Often;Sometimes;Rarely;Never Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ3
C58689 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain episode sudden severe past 7 day frequency scale ASCQMePnEpSudnSevrPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had a sudden severe pain episode, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had a sudden severe pain episode, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have a sudden attack of severe pain? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ5
C58690 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Cancel plans because pain past 7 day frequency scale ASCQMeCnclPlnBcPnPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had to cancel plans because of pain, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had to cancel plans because of pain, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have to cancel plans because of pain? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ9
C58691 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Intense fear pain episode past 7 day frequency scale ASCQMeIntnsFrPnEpPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had intense fear of having a pain episode, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had intense fear of having a pain episode, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often were you terrified that you might have a pain attack (crisis)? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ13
C58692 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain level overall past 7 day scale ASCQMePnLvOvralPs7DyScl Scale over the past 7 days of the subject/participant's overall pain level, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale over the past 7 days of the subject/participant's overall pain level, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how bad was the pain you usually have? 5;4;3;2;1 I had no pain;Mild;Moderate;Severe;Very severe Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ1
C58693 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain level joints past 7 day scale ASCQMePnLvJointsPs7DyScl Scale over the past 7 days of the subject/participant's pain level in his or her joints, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale over the past 7 days of the subject/participant's pain level in his or her joints, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how bad was the pain in your joints (such as hips or shoulders)? 5;4;3;2;1 I had no pain;Mild;Moderate;Severe;Very severe Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ4
C58649 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain bad no activity entire day past 7 day frequency scale ASCQMePnBdNoActEnDyPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she was unable to engage in any activity for the entire day, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she was unable to engage in any activity for the entire day, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have pain so bad that you could not do anything for a whole day? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Short Form PainImpactQ2
C58694 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain level torso past 7 day scale ASCQMePnLvTorsoPs7DyScl Scale over the past 7 days of the subject/participant's pain level in his or her torso, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale over the past 7 days of the subject/participant's pain level in his or her torso, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how bad was the pain in your chest or stomach? 5;4;3;2;1 I had no pain;Mild;Moderate;Severe;Very severe Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ6
C58650 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain bad unable arise bed past 7 day frequency scale ASCQMePnBdUnabArsBdPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she was unable to arise from bed, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had pain so bad that he or she was unable to arise from bed, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have pain so bad that you could not get out of bed? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Short Form PainImpactQ7
C58695 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain prevent activity past 7 day day count code ASCQMePnPvtActPs7DyDyCtCode Code for the count of days over the past 7 days that the subject/participant was prevented by pain from engaging in activities, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Code for the count of days over the past 7 days that the subject/participant was prevented by pain from engaging in activities, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how many days did pain prevent you from doing anything? 5;1;2;3;4 Never;6-7 days;4-5 days;2-3 days;1 day Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Item Bank PainImpactQ11
C58651 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) - Pain severe past 7 day frequency scale ASCQMePnSeverPs7DyFrqScl Scale for the frequency over the past 7 days that the subject/participant had severe pain, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). Scale for the frequency over the past 7 days that the subject/participant had severe pain, as part of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me). In the past 7 days, how often did you have very severe pain? 5;3;2;1;4 Never;Sometimes;Often;Always;Rarely Numeric Values Adult Proposed 1.00 2018-10-25 10:42:58.0 Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) v2.0 Pain Impact Item Bank Outcomes and End Points Pain

Single Pre-Defined Value Selected

ASCQ-Me v2.0 Pain Impact - Short Form PainImpactQ8
13 results.
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