CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: PhenX Toolkit: Functionality After Stroke

60 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 Domain CDASH Variable CDASH Definition CDASH Label Controlled Terminology Prompt Essentiality Question Text CDASH imp guidance SDTM IG target csDSR PhenX Data Type CRF Completion Inst SDTMIG Target Var SDTMIG Target Map Codelist Name PVs Pre Pop Value Query Display List Style
C59451 Difficult correctly name object past week scale DifCrctlyNamObjPstWkScl Scale for the difficulty over the past week that the subject/participant has had correctly naming objects Scale for the difficulty over the past week that the subject/participant has had correctly naming objects In the past week, how difficult was it to correctly name objects? 1;2;3;4;5 Extremely difficult;Very difficult;Somewhat difficult;A little difficult;Not difficult at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 14:50:26.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 4d
C59484 Limited role family member friend past 4 week scale LtdRolFmlMbrFrdPst4WkScl Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her role as a family member or friend Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her role as a family member or friend During the past 4 weeks, how much of the time have you been limited in your role as a family member and/or friend? 1;2;3;4;5;1;2;3;4;5 All of the time;Most of the time;Some of the time;A little of the time;None of the time;All of the time;Most of the time;Some of the time;A little of the time;None of the time Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-05 12:23:41.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 8e
C59428 Strength leg most affect stroke past week scale StgthLegMostAffctStrkPstWkScl Strength over the past week of the leg most affected by the subject/participant's stroke Strength over the past week of the leg most affected by the subject/participant's stroke In the past week, how would you rate the strength of your leg that was most affected by your stroke? 5;4;3;2;1 A lot of strength;Quite a big of strength;Some strength;A little strength;No strength at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 11:53:50.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 1c
C59462 Difficult do light household task chore past 2 week scale DifDoLtHshldTskChorPst2WkScl Scale of the difficulty the subject/participant had over the past 2 weeks doing light household tasks or chores, such as dusting, making bed, taking out garbage, doing dishes Scale of the difficulty the subject/participant had over the past 2 weeks doing light household tasks or chores, such as dusting, making bed, taking out garbage, doing dishes In the past 2 weeks, how difficult was it to do light household tasks/chores (e.g., dust, make a bed, take out garbage, do the dishes)? 2;3;4;5;1 Very difficult;Somewhat difficult;A little difficult;Not difficult at all;Could not do at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 15:25:21.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 5h
C59441 Feel burden other past week frequency scale FlBrdnOthrPstWkFrqScl Scale of the frequency that the subject/participant felt over the past week that he or she is a burden to others Scale of the frequency that the subject/participant felt over the past week that he or she is a burden to others In the past week, how often did you feel that you are a burden to others? 1;2;3;4;5;1;2;3;4;5 All of the time;Most of the time;Some of the time;A little of the time;None of the time;All of the time;Most of the time;Some of the time;A little of the time;None of the time Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 12:48:29.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 3c
C59474 Difficult get in out car past 2 week scale DifGetInOutCarPst2WkScl Scale of the difficulty the subject/participant had over the past 2 weeks to get in and out of a car Scale of the difficulty the subject/participant had over the past 2 weeks to get in and out of a car In the past 2 weeks, how difficult was it to get in and out of a car? 2;3;4;5;1 Very difficult;Somewhat difficult;A little difficult;Not difficult at all;Could not do at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 15:25:21.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 6i
C59452 Difficult participate group conversation past week scale DifPtcptGrpConvoPstWkScl Scale for the difficulty over the past week that the subject/participant has had participating in group conversations Scale for the difficulty over the past week that the subject/participant has had participating in group conversations In the past week, how difficult was it to participate in a conversation with a group of people? 1;2;3;4;5 Extremely difficult;Very difficult;Somewhat difficult;A little difficult;Not difficult at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 14:50:26.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 4e
C59485 Limited participate spiritual religious activities past 4 week scale LtdPtcptSprRelgActPst4WkScl Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her participation in spiritual or religious activities Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her participation in spiritual or religious activities During the past 4 weeks, how much of the time have you been limited in your participation in spiritual or religious activities? 1;2;3;4;5;1;2;3;4;5 All of the time;Most of the time;Some of the time;A little of the time;None of the time;All of the time;Most of the time;Some of the time;A little of the time;None of the time Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-05 12:23:41.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 8f
C59429 Strength foot ankle most affect stroke past week scale StgthFtAnMostAffctStrkPstWkScl Strength over the past week of the foot/ankle most affected by the subject/participant's stroke Strength over the past week of the foot/ankle most affected by the subject/participant's stroke In the past week, how would you rate the strength of your foot/ankle that was most affected by your stroke? 5;4;3;2;1 A lot of strength;Quite a big of strength;Some strength;A little strength;No strength at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 11:53:50.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 1d
C59463 Difficult shop past 2 week scale DifShopPst2WkScl Scale of the difficulty the subject/participant had shopping over the past 2 weeks Scale of the difficulty the subject/participant had shopping over the past 2 weeks In the past 2 weeks, how difficult was it to go shopping? 2;3;4;5;1 Very difficult;Somewhat difficult;A little difficult;Not difficult at all;Could not do at all Numeric Values PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) Adult Proposed 1.00 2019-04-04 15:25:21.0 PhenX Toolkit: Functionality After Stroke Additional Proposed Instruments Phen-X

Single Pre-Defined Value Selected

PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 5i
60 results.
CSV