CDE Detailed Report
Disease: cookie-policy
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
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
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
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
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
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 Phen-X

Single Pre-Defined Value Selected

 PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 3f
C59477 Difficult use hand most affect stroke open can jar past 2 week scale DfUsHdMsAfStOpCnJrPs2WkScl 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 open a can or jar 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 open a can or jar In the past 2 weeks, how difficult was it to use your hand that was most affected by your stroke to open a can or jar? 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 7c
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 Phen-X

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 Phen-X

Free-Form Entry

 0 100 PhenX Neurology, Quality of Life, and Health Services Specialty Collection Functionality after Stroke 9
60 results.
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