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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18099 | Quality of Life in Swallowing Disorders (SWAL-QOL) - birth date | SWALQOLBrthDate | Date of the subject's birthday, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Date of the subject's birthday, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Please write in your date of birth here | Date or Date & Time | 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 |
Free-Form Entry |
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| C10299 | Quality of Life in Swallowing Disorders (SWAL-QOL) - difficult speak clear problem indicator | SWALQOLDifcltSpkClrProbInd | Scale assessing how true the following statement has been for the participant during the last month: It's been difficult for me to speak clearly. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject feels it's difficult to speak clearly, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | It's been difficult for me to speak clearly. | 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 |
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| C10310 | Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem hard social life indicator | SWALQOLSwllwProbHrdSoclLifInd | Scale assessing how true the following statement has been for the participant during the last month: My swallowing problem makes it hard to have a social life. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates subject's swallowing problem makes it hard to have a social life, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | My swallowing problem makes it hard to have a social life. | 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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| C10278 | Quality of Life in Swallowing Disorders (SWAL-QOL) - eating longer indicator | SWALQOLEatngLngrInd | Scale assessing how true the following statement has been for the participant during the last month: It takes me longer to eat than other people, as part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates subject takes how much longer to eat than other people, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | It takes me longer to eat than other people. | 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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| C10321 | Quality of Life in Swallowing Disorders (SWAL-QOL) - consistency liquid indicator | SWALQOLConsstncyLiqInd | Category of consistency or texture of the liquids participant has been drinking most often in the last week. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates consistency of the liquid subject has been drinking in the last week, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Please circle the letter of the one description below that best describes the consistency of liquids you have been drinking most often in the last week. | A;B;C;D;E | A;B;C;D;E | Alphanumeric |
Choose only one |
Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19500 | 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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| C10289 | Quality of Life in Swallowing Disorders (SWAL-QOL) - excess saliva phlegm problem indicator | SWALQOLExcsSalvPhlgmProbInd | Scale assessing how true the following statement has been for the participant during the last month: Having excess saliva or phlegm. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject experiences having excess saliva or phlegm, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Having excess saliva or phlegm | 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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| C10300 | Quality of Life in Swallowing Disorders (SWAL-QOL) - fear choke food problem indicator | SWALQOLFrChokFdProbInd | Scale assessing how true the following statement has been for the participant during the last month: I fear I may start choking when I eat food. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject feels fear of choking on food again, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | I fear I amy start choking when I eat food. | 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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| C18100 | Quality of Life in Swallowing Disorders (SWAL-QOL) - age value | SWALQOLAgVal | Age of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Age of the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | What is your age today? | 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 |
Free-Form Entry |
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| C10311 | Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem changed activities indicator | SWALQOLSwllwngProbChngdActInd | Scale assessing how true the following statement has been for the participant during the last month: My usual work or leisure activities have changed because of my swallowing problem. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates subject's work or leisure activities have changed because of swallowing problem, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | My usual work or leisure activities have 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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| C10279 | Quality of Life in Swallowing Disorders (SWAL-QOL) - rare realization hunger indicator | SWALQOLRarRealztnHugrInd | Scale assessing how true the following statement has been for the participant during the last month: I'm rarely hungry anymore, as part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how rarely subject feels hungry, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | I'm rarely hungry 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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| C10322 | Quality of Life in Swallowing Disorders (SWAL-QOL) - general health indicator | SWALQOLGenrlHlthInd | Scale assessing the general health of the participant. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates the subject's general health condition, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | In general, would you say your health is | 1;2;3;4;5 | Poor;Fair;Good;Very Good;Excellent | Numeric Values |
Circle one |
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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| C10290 | Quality of Life in Swallowing Disorders (SWAL-QOL) - clear throat problem indicator | SWALQOLClrThrtProbInd | Scale assessing how true the following statement has been for the participant during the last month: Having to clear your throat. As part of Quality of Life in Swallowing Disorders (SWAL-QOL) | Indicates how often subject experiences having to clear throat, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) | Having to clear 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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| 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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| 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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| 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 |
