CDE Detailed Report
Disease:
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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C59444 | Enjoy thing much as ever past week frequency scale | EnjyThngMchAsEvrPstWkFrqScl | Scale of the frequency over the past week that the subject/participant enjoyed things as much as ever | Scale of the frequency over the past week that the subject/participant enjoyed things as much as ever | In the past week, how often did you enjoy things as much as ever? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 3f | ||||||||||||||||||||||||||
C59455 | Difficult cut food knife fork past 2 week scale | DifCutFdKnfFrkPst2WkScl | Scale of the difficulty the subject/participant had over the past 2 weeks cutting his or her food with a knife and fork | Scale of the difficulty the subject/participant had over the past 2 weeks cutting his or her food with a knife and fork | In the past 2 weeks, how difficult was it to cut your food with a knife and fork? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 5a | ||||||||||||||||||||||||||
C59488 | Stroke recovery 0 100 scale | StrokRecovry0100Scl | Scale from 0 to 100 of the subject/participant's self-reported recovery from his or her stroke | Scale from 0 to 100 of the subject/participant's self-reported recovery from his or her stroke | On a scale of 0 to 100, with 100 representing full recovery and 0 representing no recovery, how much have you recovered from your stroke? | Numeric Values | PhenX Protocol: Stroke Impact Scale (SIS) - Adults (#820701) | Adult | Proposed | 1.00 | 2019-04-05 13:05:27.0 | PhenX Toolkit: Functionality After Stroke | Additional Proposed Instruments | cookie-policy |
Free-Form Entry |
0 | 100 | PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 9 | ||||||||||||||||||||||||||
C59467 | Difficult continue stand without lose balance past 2 week scale | DifCnStndWoLoseBalPst2WkScl | Scale of the difficulty the subject/participant had over the past 2 weeks to continue standing without losing his or her balance | Scale of the difficulty the subject/participant had over the past 2 weeks to continue standing without losing his or her balance | In the past 2 weeks, how difficult was it to stay standing 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 6b | ||||||||||||||||||||||||||
C59432 | Difficult remember do things past week scale | DifRemDoThgPstWkScl | Scale of the difficulty the subject/participant has had in the past week remembering to do things (e.g., keep a scheduled appointment or take medication) | Scale of the difficulty the subject/participant has had in the past week remembering to do things (e.g., keep a scheduled appointment or take medication) |
In the past week, how difficult was it for you to remember to do things (e.g., keep scheduled appointments or take medication)? |
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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 2c | ||||||||||||||||||||||||||
C59478 | Difficult use hand most affect stroke tie shoelace past 2 week scale | DfUsHdMsAfStTiShlcPs2WkScl | 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 tie a shoelace | 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 tie a shoelace | In the past 2 weeks, how difficult was it to use your hand that was most affected by your stroke to tie a shoe lace? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 7d | ||||||||||||||||||||||||||
C59445 | Feel quite nervous past week frequency scale | FlQuiteNrvousPstWkFrqScl | Scale of the frequency over the past week that the subject/participant felt quite nervous | Scale of the frequency over the past week that the subject/participant felt quite nervous | In the past week, how often did you feel quite nervous? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 3g | ||||||||||||||||||||||||||
C59456 | Difficult dress upper body past 2 week scale | DifDrsUprBodyPst2WkScl | Scale of the difficulty the subject/participant had over the past 2 weeks dressing his or her upper body | Scale of the difficulty the subject/participant had over the past 2 weeks dressing his or her upper body | In the past 2 weeks, how difficult was it to dress the top part of your body? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 5b | ||||||||||||||||||||||||||
C59468 | Difficult walk without lose balance past 2 week scale | DifWalkWoLoseBalPst2WkScl | Scale of the difficulty the subject/participant had over the past 2 weeks to walk without losing his or her balance | Scale of the difficulty the subject/participant had over the past 2 weeks to walk without losing his or her balance | In the past 2 weeks, how difficult was it to walk 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 6c | ||||||||||||||||||||||||||
C59433 | Difficult remember day of week past week scale | DifRemDayOfWkPstWkScl | Scale of the difficulty the subject/participant has had in the past week remembering the day of the week | Scale of the difficulty the subject/participant has had in the past week remembering the day of the week | In the past week, how difficult was it for you to remember the day of the week? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
PhenX | Neurology, Quality of Life, and Health Services Specialty Collection | Functionality after Stroke | 2d |
60 results.