CDE Detailed Report

Disease: Multiple Sclerosis
Subdomain Name: Activities of Daily Living/Performance
CRF: content

Displaying 1 - 10 of 10
CDE ID CDE Name Variable Name Definition Short Description 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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C17402 Site name SiteName The name of the site for the study The name of the site for the study Site Name: Alphanumeric Adult Exploratory 3.00 2013-06-21 00:00:00.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points 255

Free-Form Entry

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject ID: Alphanumeric Adult Exploratory 1.00 2014-06-05 13:10:49.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points 255

Free-Form Entry

C52339 Subject initial text SubjectInitialTxt The free-text field related to the initials of the subject The free-text field related to the initials of the subjec Initials Alphanumeric Adult Exploratory 1.00 2016-12-04 21:30:04.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points 3

Free-Form Entry

C57037 Fatigue diary entry start date and time FtgDryEntStDateTime Start date and time for the fatigue diary entry Start date and time for the fatigue diary entry Please fill out this questionnaire from C57037 to C57038. Do this for each hour of the day and night Date or Date & Time Adult Exploratory 1.00 2017-12-18 10:50:16.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

C57038 Fatigue diary entry end date and time FtgDryEntEnDateTime End date and time for the fatigue diary entry End date and time for the fatigue diary entry Please fill out this questionnaire from C57037 to C57038. Do this for each hour of the day and night Date or Date & Time Adult Exploratory 1.00 2017-12-18 10:50:16.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

C57039 Fatigue diary day indicator FtgDryDyInd Indication of Day (also broken down further into hours) within the Fatigue Diary Indication of Day (also broken down further into hours) within the Fatigue Diary Hour Beginning at Alphanumeric Adult Exploratory 1.00 2017-12-18 11:12:48.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points 255

Free-Form Entry

C57040 Fatigue diary activity type FtgDryActTyp Type of activity entered in the Fatigue Diary Type of activity entered in the Fatigue Diary Activity Alphanumeric

Activity is usually descriptive (open text)

Adult Exploratory 1.00 2017-12-18 11:17:21.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points 255

Free-Form Entry

C57041 Fatigue diary fatigue level value FtgDryFtgLvlVal Value of the level of fatigue an individual has entered within the Fatigue Diary Value of the level of fatigue an individual has entered within the Fatigue Diary Fatigue Numeric Values

Fatigue is usually represented on a scale (e.g. 0 to 10 or 0 to 100, with the maximal level usually representing worse results)

Adult Exploratory 1.00 2017-12-18 11:20:49.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 10
C00008 Age value AgeVal Value for participant's age, calculated as elapsed time since the birth of the participant Value for participant's age, calculated as elapsed time since the birth of the participant Age Numeric Values Adult Exploratory 3.10 2024-02-29 15:47:28.0 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 1800 month
C06005 Data collected date and time DataCollDateTime Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performed Date (and time, if applicable and known) the data were collected. This may be the date/time a particular examination or procedure was performe Day/Date Date or Date & Time Adult Exploratory 3.00 2013-07-24 21:00:23.88 Fatigue/Activity Record and Diary Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

CSV