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
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
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
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
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
C59442 Feel nothing look forward to past week frequency scale FlNothLkFwdToPstWkFrqScl Scale of the frequency that the subject/participant felt over the past week that he or she has nothing to look forward to Scale of the frequency that the subject/participant felt over the past week that he or she has nothing to look forward to In the past week, how often did you feel that you have nothing to look forward to? 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 3d
C59475 Difficult use hand most affect stroke carry heavy object past 2 week scale DfUsHdMsAfStCyHvObPs2WkScl Scale of the difficulty the subject/participant had over the past 2 weeks using his or her hand that was most affected by the stroke to carry heavy objects Scale of the difficulty the subject/participant had over the past 2 weeks using his or her hand that was most affected by the stroke to carry heavy objects In the past 2 weeks, how difficult was it to use your hand that was most affected by your stroke to carry heavy objects (e.g., a bag of groceries)? 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 7a
C59486 Limited ability control life as wish past 4 week scale LtdAblCtrlLfAsWshPst4WkScl Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her ability to control his or her life as he or she wishes Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her ability to control his or her life as he or she wishes During the past 4 weeks, how much of the time have you been limited in your ability to control your life as you wish? 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 8g
C59453 Difficult conversation telephone past week scale DifConvoTlphnPstWkScl Scale for the difficulty over the past week that the subject/participant has had having a telephone conversation Scale for the difficulty over the past week that the subject/participant has had having a telephone conversation In the past week, how difficult was it to have a conversation on the telephone? 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 4f
60 results.
CSV