CDE Detailed Report
Disease: system
Subdomain Name: Dysphagia
CRF: files
Displaying 51 - 66 of 66
Subdomain Name: Dysphagia
CRF: files
Displaying 51 - 66 of 66
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C10301 | Quality of Life in Swallowing Disorders (SWAL-QOL) - worry pneumonia problem indicator | SWALQOLWryPnemnProbInd | Scale assessing how true the following statement has been for the participant during the last month: I worry about getting pneumonia. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject fear of getting pneumonia, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | I worry about getting pneumonia. | 1;2;3;4;5 | Almost always;Often;Sometimes;Hardly ever;Never | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18101 | Quality of Life in Swallowing Disorders (SWAL-QOL) - gender indicator | SWALQOLGendrInd | Gender of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Gender of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Are you | 1;2 | 1;2 | Numeric Values | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-18 09:11:50.26 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10280 | Quality of Life in Swallowing Disorders (SWAL-QOL) - long eating period indicator | SWALQOLLngEatngPerdInd | Scale assessing how true the following statement has been for the participant during the last month: It takes me forever to eat a meal. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how much longer subject to eat, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | It takes me forever to eat a meal. | 1;2;3;4;5 | Very much true;Quite a bit true;Somewhat true;A little true;Not at all true | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10312 | Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem enjoyable social indicator | SWALQOLSwllwngProbEnjblSoclInd | Scale assessing how true the following statement has been for the participant during the last month: Social gatherings (like holidays or get-togethers) are not enjoyable because of my swallowing problem. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates subject no longer enjoys social gatherings because of swallowing problem, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Social gatherings (like holidays or get-togethers) are not enjoyable because of my swallowing problem. | 1;2;3;4;5 | Strongly agree;Agree;Uncertain;Disagree;Strongly disagree | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10291 | Quality of Life in Swallowing Disorders (SWAL-QOL) - food sticking throat problem indicator | SWALQOLFdStckngThrtProbInd | Scale assessing how true the following statement has been for the participant during the last month: Food sticking in your throat. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject experiences food sticking to throat, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Food sticking in your throat | 1;2;3;4;5 | Almost always;Often;Sometimes;Hardly ever;Never | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C17833 | Quality of Life in Swallowing Disorders (SWAL-QOL) - questionnaire help indicator | SWALQOLQuestHelpInd | Indicator of whether the subject/participant received help filling out the Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire | Indicator of whether the subject/participant received help filling out the Quality of Life in Swallowing Disorders (SWAL-QOL) questionnair | Did anybody help you complete this questionnaire? | 1;2 | No, I did it myself;Yes, someone helped me fill it out | Numeric Values |
circle one |
No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10302 | Quality of Life in Swallowing Disorders (SWAL-QOL) - fear choke liquid problem indicator | SWALQOLFrChokLiqProbInd | Scale assessing how true the following statement has been for the participant during the last month: I am afraid of choking when I drink liquids. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject fears choking on liquid again, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | I am afraid of choking when I drink liquids. | 1;2;3;4;5 | Almost always;Often;Sometimes;Hardly ever;Never | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18102 | Quality of Life in Swallowing Disorders (SWAL-QOL) - race indicator | SWALQOLRcInd | Racial group of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Racial group of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | What is your main racial or ethnic group? | 1;2;3;4;5 | 1;2;3;4;5 | Numeric Values | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-18 09:11:50.26 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10281 | Quality of Life in Swallowing Disorders (SWAL-QOL) - eating enjoyment indicator | SWALQOLEatngEnjmntInd | Scale assessing how true the following statement has been for the participant during the last month: I don't enjoy eating anymore. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how much subject does not enjoy eating, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | I don't enjoy eating anymore. | 1;2;3;4;5 | Very much true;Quite a bit true;Somewhat true;A little true;Not at all true | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10313 | Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem changed family friends role indicator | SWALQOLSwllwngProbChngdRolInd | Scale assessing how true the following statement has been for the participant during the last month: My role with family and friends has changed because of my swallowing problem. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Scale assessing how true the following statement has been for the participant during the last month: My role with family and friends has changed because of my swallowing problem. As part of Quality of Life in Swallowing Disorders (SWAL-QOL | My role with family and friends has changed because of my swallowing problem. | 1;2;3;4;5 | Strongly agree;Agree;Uncertain;Disagree;Strongly disagree | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10292 | Quality of Life in Swallowing Disorders (SWAL-QOL) - food sticking mouth problem indicator | SWALQOLFdStckngMthProbInd | Scale assessing how true the following statement has been for the participant during the last month: Food sticking in your mouth. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject experiences food sticking to mouth, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Food sticking in your mouth | 1;2;3;4;5 | Almost always;Often;Sometimes;Hardly ever;Never | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C17834 | Quality of Life in Swallowing Disorders (SWAL-QOL) - age number | SWALQOLAgeNum | Age of subject/participant | Age of subject/participan | What is your age today? | Numeric Values | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Free-Form Entry |
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| C10303 | Quality of Life in Swallowing Disorders (SWAL-QOL) - unsure when choke problem indicator | SWALQOLUnsrWhnChokProbInd | Scale assessing how true the following statement has been for the participant during the last month: I never know when I am going to choke. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject fears of not knowing when subject will choking again, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | I never know when I am going to choke. | 1;2;3;4;5 | Almost always;Often;Sometimes;Hardly ever;Never | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C18103 | Quality of Life in Swallowing Disorders (SWAL-QOL) - education scale | SWALQOLEduInd | Education level of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Education level of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | What is the highest year of school or collge you have ever completed? | 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;16+ | 1;2;3;4;5;6;7;8;9;10;11;12;13;14;15;16;16+ | Alphanumeric | No references available | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-18 09:11:50.26 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10282 | Quality of Life in Swallowing Disorders (SWAL-QOL) - coughing problem indicator | SWALQOLCoughngProbInd | Scale assessing how true the following statement has been for the participant during the last month: Coughing. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject experiences the coughing problem, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Coughing | 1;2;3;4;5 | Almost always;Often;Sometimes;Hardly ever;Never | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C10314 | Quality of Life in Swallowing Disorders (SWAL-QOL) - feeling weak indicator | SWALQOLFeelngWkInd | Scale assessing how true the following statement has been for the participant during the last month: Feel weak? As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject feels weak, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Feel weak? | 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 | Numeric Values |
Circle one number on each line |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 | Adult | NeuroRehab Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Quality of Life in Swallowing Disorders (SWAL-QOL) | Dysphagia | Outcomes and End Points |
Single Pre-Defined Value Selected |
