CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Additional Proposed Instruments
CRF:
Sub-Domain: Additional Proposed Instruments
CRF:
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 |
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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 | ||||||||||||||||||||||||||
C59430 | Difficult remember things just told past week scale | DiffRememThgJstTldPstWkScl | Scale of the difficulty the subject/participant has had in the past week remembering things that people just told him or her | Scale of the difficulty the subject/participant has had in the past week remembering things that people just told him or her | In the past week, how difficult was it for you to remember things that people just told you? | 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 12:24:55.0 | 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 | 2a | ||||||||||||||||||||||||||
C59464 | Difficult do heavy household chore past 2 week scale | DifDoHvyHshldChorPst2WkScl | Scale of the difficulty the subject/participant had over the past 2 weeks doing heavy household chores such as vacuuming, laundry, yard work | Scale of the difficulty the subject/participant had over the past 2 weeks doing heavy household chores such as vacuuming, laundry, yard work | In the past 2 weeks, how difficult was it to do heavy household chores (e.g., vacuum, laundry or yard work)? | 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 | 5j | ||||||||||||||||||||||||||
C59443 | Blame self mistake past week frequency scale | BlamSlfMstkPstWkFrqScl | Scale of the frequency over the past week that the subject/participant blamed him or herself for mistakes that he or she made | Scale of the frequency over the past week that the subject/participant blamed him or herself for mistakes that he or she made | In the past week, how often did you blame yourself for mistakes that you made? | 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 | 3e | ||||||||||||||||||||||||||
C59476 | Difficult use hand most affect stroke turn doorknob past 2 week scale | DfUsHdMsAfStTnDrkbPs2WkScl | 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 turn a doorknob | 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 turn a doorknob | In the past 2 weeks, how difficult was it to use your hand that was most affected by your stroke to turn a doorknob? | 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 | 7b | ||||||||||||||||||||||||||
C59487 | Limited ability help others past 4 week scale | LtdAblHlpOthPst4WkScl | Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her ability to help others | Scale of the amount of time over the past 4 weeks that the subject/participant has been limited in his or her ability to help others | During the past 4 weeks, how much of the time have you been limited in your ability to help 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 | 2019-04-05 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 | 8h | ||||||||||||||||||||||||||
C59454 | Difficult place telephone call past week scale | DifPlcTlphnCalPstWkScl | Scale for the difficulty over the past week that the subject/participant has had placing a telephone call, including selecting the correct number and dialing | Scale for the difficulty over the past week that the subject/participant has had placing a telephone call, including selecting the correct number and dialing | In the past week, how difficult was it to call another person on the telephone, including selecting the correct phone number and dialing? | 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 | 4g | ||||||||||||||||||||||||||
C59431 | Difficult remember things happen day before past week scale | DifRemThgHpnDayBfrPstWkScl | Scale of the difficulty the subject/participant has had in the past week remembering things that happened the day before | Scale of the difficulty the subject/participant has had in the past week remembering things that happened the day before | In the past week, how difficult was it for you to remember things that happened the day before? | 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 12:24:55.0 | 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 | 2b | ||||||||||||||||||||||||||
C59466 | Difficult continue sit without lose balance past 2 week scale | DifCnSitWoLoseBalPst2WkScl | Scale of the difficulty the subject/participant had over the past 2 weeks to continue sitting without losing his or her balance | Scale of the difficulty the subject/participant had over the past 2 weeks to continue sitting without losing his or her balance | In the past 2 weeks, how difficult was it to stay sitting without losing your balance? | 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 | 6a |
60 results.