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| Title | Asthma Daytime Symptom Diary V1.0 (ADSD V1.0) |
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| CDISC Reference | Questionnaire Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials |
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| QRS Short Name | |
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| QRS Permission Status | Approved |
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| Team | CDISC Questionnaires, Ratings, and Scales (QRS) Subteam |
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| Supplement Version | 1.0 |
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| Status | Final |
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| Date | 2021-0304-3102 |
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| Notes | - This supplement is intended to be used with other CDISC user guides for specific therapeutic/disease areas and follows the CDISC Study Data Tabulation Model Implementation Guide for Human Clinical Trials.
- This instrument is a US FDA Qualified Clinical Outcome Assessment (COA) instrument.
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Revision History
| Date | Version |
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| 2021-0304-3102 | 1.0 Final |
© 2021 Clinical Data Interchange Standards Consortium, Inc. All rights reserved.
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| Dataset wrap |
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| Dataset2 |
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| Row | STUDYID | DOMAIN | USUBJID | QSSEQ | QSTESTCD | QSTEST | QSCAT | QSORRES | QSSTRESC | QSSTRESN | QSSTAT | QSREASND | QSLOBXFL | VISITNUM | QSDTC | QSEVINTX |
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| 1 | STUDYX | QS | 2324-P0001 | 1 | ADSD0101 | ADSD01-Rate Breathing at Its Worst | ADSD V1.0 | 6 | 6 | 6 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING| Jira |
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| showSummary | false |
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| server | Issue Tracker (JIRA) |
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| serverId | 85506ce4-3cb3-3d91-85ee-f633aaaf4a45 |
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key | QRSSUPP-177 | | 2 | STUDYX | QS | 2324-P0001 | 2 | ADSD0102 | ADSD01-Rate Wheezing at Its Worst | ADSD V1.0 | None | 0 | 0 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING | | 3 | STUDYX | QS | 2324-P0001 | 3 | ADSD0103 | ADSD01-Rate Shortness of Breath at Worst | ADSD V1.0 | 3 | 3 | 3 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING | | 4 | STUDYX | QS | 2324-P0001 | 4 | ADSD0104 | ADSD01-Rate Chest Tightness at Its Worst | ADSD V1.0 | 2 | 2 | 2 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING | | 5 | STUDYX | QS | 2324-P0001 | 5 | ADSD0105 | ADSD01-Rate Chest Pain at Its Worst | ADSD V1.0 | 5 | 5 | 5 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING | | 6 | STUDYX | QS | 2324-P0001 | 6 | ADSD0106 | ADSD01-Rate Cough at Its Worst | ADSD V1.0 | As bad as you can imagine | 10 | 10 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING | | 7 | STUDYX | QS | 2324-P0001 | 7 | ADSD0107 | ADSD01-Total Score | ADSD V1.0 | 4.3 | 4.3 | 4.3 |
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| Y | 1 | 2015-05-15 | SINCE GETTING UP THIS MORNING | | 8 | STUDYX | QS | 2324-P0020 | 1 | ADSD0101 | ADSD01-Rate Breathing at Its Worst | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 | | Jira |
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| showSummary | false |
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| server | Issue Tracker (JIRA) |
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| serverId | 85506ce4-3cb3-3d91-85ee-f633aaaf4a45 |
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| key | QRSSUPP-177 |
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| | 9 | STUDYX | QS | 2324-P0020 | 2 | ADSD0102 | ADSD01-Rate Wheezing at Its Worst | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 |
| | 10 | STUDYX | QS | 2324-P0020 | 3 | ADSD0103 | ADSD01-Rate Shortness of Breath at Worst | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 |
| | 11 | STUDYX | QS | 2324-P0020 | 4 | ADSD0104 | ADSD01-Rate Chest Tightness at Its Worst | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 |
| | 12 | STUDYX | QS | 2324-P0020 | 5 | ADSD0105 | ADSD01-Rate Chest Pain at Its Worst | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 |
| | 13 | STUDYX | QS | 2324-P0020 | 6 | ADSD0106 | ADSD01-Rate Cough at Its Worst | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 |
| | 14 | STUDYX | QS | 2324-P0020 | 7 | ADSD0107 | ADSD01-Total Score | ADSD V1.0 |
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| NOT DONE | REFUSED | Y | 1 | 2015-05-20 |
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