CDE Detailed Report

Disease: Multiple Sclerosis
Sub-Domain: Quality of Life/Patient Reported Outcomes
CRF: EuroQoL-5 Dimension Questionnaire (EQ-5D)

Displaying 1 - 6 of 6
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 External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C20533 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) - Anxiety depression category EQ5D5LAnxietyDepressionCat Category determining the extent to which the participant has problems with anxiety or depression category, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Category determining the extent to which the participant has problems with anxiety or depression category, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Anxiety/Depression I am extremely anxious or depressed;I am not anxious or depressed;I am slightly anxious or depressed;I am moderately anxious or depressed;I am severely anxious or depressed I am extremely anxious or depressed;I am not anxious or depressed;I am slightly anxious or depressed;I am moderately anxious or depressed;I am severely anxious or depressed Alphanumeric

Under each heading, please check the ONE box that best describes your health TODAY.

EuroQol Research Foundation (2009) http://www.euroqol.org/ Adult;Pediatric Supplemental 1.00 2015-05-20 08:44:26.0 EuroQoL-5 Dimension Questionnaire (EQ-5D) Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20535 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) - Health today scale EQ5D5LHealthTodayScl Scale of how good or bad the participant's health is today, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Scale of how good or bad the participant's health is today, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). YOUR HEALTH TODAY Numeric Values

Under each heading, please check the ONE box that best describes your health TODAY.

EuroQol Research Foundation (2009) http://www.euroqol.org/ Adult;Pediatric Supplemental 1.00 2015-05-20 08:46:00.0 EuroQoL-5 Dimension Questionnaire (EQ-5D) Quality of Life/Patient Reported Outcomes Outcomes and End Points

Free-Form Entry

0 100
C20526 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) - Mobility category EQ5D5LMobilityCat Category determining the extent to which the participant has problems with mobility, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Category determining the extent to which the participant has problems with mobility, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Mobility I have no problems walking;I have slight problems walking;I have moderate problems walking;I have severe problems in walking;I am unable to walk I have no problems walking;I have slight problems walking;I have moderate problems walking;I have severe problems in walking;I am unable to walk Alphanumeric

Under each heading, please check the ONE box that best describes your health TODAY.

EuroQol Research Foundation (2009) http://www.euroqol.org/ Adult;Pediatric Supplemental 1.00 2015-05-20 08:36:26.0 EuroQoL-5 Dimension Questionnaire (EQ-5D) Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20527 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) - Self-care category EQ5D5LSelfCareCat Category determining the extent to which the participant has problems with self-care, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Category determining the extent to which the participant has problems with self-care, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Self-care I have no problems washing or dressing myself;I have slight problems washing or dressing myself;I have moderate problems washing or dressing myself;I have severe problems washing or dressing myself;I am unable to wash or dress myself I have no problems washing or dressing myself;I have slight problems washing or dressing myself;I have moderate problems washing or dressing myself;I have severe problems washing or dressing myself;I am unable to wash or dress myself Alphanumeric

Under each heading, please check the ONE box that best describes your health TODAY.

EuroQol Research Foundation (2009) http://www.euroqol.org/ Adult;Pediatric Supplemental 1.00 2015-05-20 08:39:51.0 EuroQoL-5 Dimension Questionnaire (EQ-5D) Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20529 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) - Usual activities category EQ5D5LUsualActivitiesCat Category determining the extent to which the participants has problems with usual activities (e.g. work, study, housework, family or leisure activities), as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Category determining the extent to which the participants has problems with usual activities (e.g. work, study, housework, family or leisure activities), as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Usual activities I am unable to do my usual activities;I have no problems doing my usual activities;I have slight problems doing my usual activities;I have moderate problems doing my usual activities;I have severe problems doing my usual activities I am unable to do my usual activities;I have no problems doing my usual activities;I have slight problems doing my usual activities;I have moderate problems doing my usual activities;I have severe problems doing my usual activities Alphanumeric

Under each heading, please check the ONE box that best describes your health TODAY.

EuroQol Research Foundation (2009) http://www.euroqol.org/ Adult;Pediatric Supplemental 1.00 2015-05-20 08:41:37.0 EuroQoL-5 Dimension Questionnaire (EQ-5D) Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C20531 European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) - Pain discomfort category EQ5D5LPainDiscomfortCat Category determining the extent to which the participant has problems with pain or discomfort category, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Category determining the extent to which the participant has problems with pain or discomfort category, as part of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Pain/Discomfort I have extreme pain or discomfort;I have no pain or discomfort;I have slight pain or discomfort;I have moderate pain or discomfort;I have severe pain or discomfort I have extreme pain or discomfort;I have no pain or discomfort;I have slight pain or discomfort;I have moderate pain or discomfort;I have severe pain or discomfort Alphanumeric

Under each heading, please check the ONE box that best describes your health TODAY.

EuroQol Research Foundation (2009) http://www.euroqol.org/ Adult;Pediatric Supplemental 1.00 2015-05-20 08:43:06.0 EuroQoL-5 Dimension Questionnaire (EQ-5D) Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

CSV