CDE Detailed Report

Disease: Spinal Cord Injury
Sub-Domain: Quality of Life/Patient Reported Outcomes
CRF: International SCI Quality of Life Basic Data Set

Displaying 1 - 6 of 6
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C06000 Site identifier number SiteIDNum Unique identification number given to the study site to distinguish the location where data is recorded. Unique identification number given to the study site to distinguish the location where data is recorded. Site Alphanumeric

The site identifiers or IDs should be assigned by the study.

Charlifue S, Post MW, Biering-SØrensen F, Catz A, Dijkers M, Geyh S, Horsewell J, Noonan V, Noreau L, Tate D, Sinnott KA. International Spinal Cord Injury Quality of Life Basic Data Set. Spinal Cord. 2012 Mar 27. [Epub ahead of print] Adult Supplemental 3.00 2013-07-17 09:26:36.973 International SCI Quality of Life Basic Data Set Quality of Life/Patient Reported Outcomes Outcomes and End Points 255

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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 performed. Date Performed Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Charlifue S, Post MW, Biering-SØrensen F, Catz A, Dijkers M, Geyh S, Horsewell J, Noonan V, Noreau L, Tate D, Sinnott KA. International Spinal Cord Injury Quality of Life Basic Data Set. Spinal Cord. 2012 Mar 27. [Epub ahead of print] Adult;Pediatric Supplemental 3.00 2013-07-24 21:00:23.88 International SCI Quality of Life Basic Data Set Quality of Life/Patient Reported Outcomes Outcomes and End Points

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C06142 Spinal cord injury general quality life scale SpinCrdInjGenQultyLifScale Numeric response of life quality satisfaction of subject for the past four weeks. Numeric response of life quality satisfaction of subject for the past four weeks. Thinking about your own life and personal circumstances, how satisfied are you with your life as a whole in the past four weeks? Please use a scale ranging from 0 completely dissatisfied to 10 completely satisfied. You can use 0 or 10 or any number in bet 0;1;2;3;4;5;6;7;8;9;10 0 completely dissatisfied;1;2;3;4;5;6;7;8;9;10 completely satisfied Numeric Values

Rate the quality of life using a scale ranging from 0 (completely dissatisfied) to 10 (completely satisfied). You can use 0 or 10 or any number in between.

Charlifue S, Post MW, Biering-SØrensen F, Catz A, Dijkers M, Geyh S, Horsewell J, Noonan V, Noreau L, Tate D, Sinnott KA. International Spinal Cord Injury Quality of Life Basic Data Set. Spinal Cord. 2012 Mar 27. [Epub ahead of print] Adult Supplemental 3.00 2013-07-17 09:26:36.973 International SCI Quality of Life Basic Data Set Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C06144 Spinal cord injury physical health satisfaction rating scale SpinCrdInjPhysHlthSatRatScale Numeric response of physical satisfaction of subject for the past four weeks. Numeric response of physical satisfaction of subject for the past four weeks. How satisfied are you with your physical health in the past four weeks? Please use a scale ranging from 0 completely dissatisfied to 10 completely satisfied. You can use 0 or 10 or any number in between. 0;1;2;3;4;5;6;7;8;9;10 0 completely dissatisfied;1;2;3;4;5;6;7;8;9;10 completely satisfied Numeric Values

Rate the satisfaction with physical health using a scale ranging from 0 (completely dissatisfied) to 10 (completely satisfied). You can use 0 or 10 or any number in between.

Charlifue S, Post MW, Biering-SØrensen F, Catz A, Dijkers M, Geyh S, Horsewell J, Noonan V, Noreau L, Tate D, Sinnott KA. International Spinal Cord Injury Quality of Life Basic Data Set. Spinal Cord. 2012 Mar 27. [Epub ahead of print] Adult Supplemental 3.00 2013-07-17 09:26:36.973 International SCI Quality of Life Basic Data Set Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C06146 Spinal cord injury psychological health satisfaction scale SpinCrdInjPsychHlthSatScale Numeric response of psychological health emotions and mood of subject for the past four weeks. Numeric response of psychological health emotions and mood of subject for the past four weeks. How satisfied are you with your psychological health, emotions and mood in the pastfour weeks? Please use a scale ranging from 0 completely dissatisfied to 10 completely satisfied. You can use 0 or 10 or any number in between. 0;1;2;3;4;5;6;7;8;9;10 0 completely dissatisfied;1;2;3;4;5;6;7;8;9;10 completely satisfied Numeric Values

Rates the satisfaction with psychological general mood using a scale ranging from 0 (completely dissatisfied) to 10 (completely satisfied). You can use 0 or 10 or any number in between.

Charlifue S, Post MW, Biering-SØrensen F, Catz A, Dijkers M, Geyh S, Horsewell J, Noonan V, Noreau L, Tate D, Sinnott KA. International Spinal Cord Injury Quality of Life Basic Data Set. Spinal Cord. 2012 Mar 27. [Epub ahead of print] Adult Supplemental 3.00 2013-07-17 09:26:36.973 International SCI Quality of Life Basic Data Set Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C19247 Subject ID SubIDNam Subject identification ID Subject identification ID Subject Alphanumeric

The participant or subject identifiers or IDs should be assigned by the study.

Charlifue S, Post MW, Biering-SØrensen F, Catz A, Dijkers M, Geyh S, Horsewell J, Noonan V, Noreau L, Tate D, Sinnott KA. International Spinal Cord Injury Quality of Life Basic Data Set. Spinal Cord. 2012 Mar 27. [Epub ahead of print] Adult;Pediatric Supplemental 1.00 2014-06-05 13:10:49.0 International SCI Quality of Life Basic Data Set Quality of Life/Patient Reported Outcomes Outcomes and End Points 255

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