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The following is for illustrative purposes and would not really be included for the IDS-SR instrument in this template. It provides an example of what would need to be included if the instrument required supplemental qualifiers (see Section 5 Supplemental Qualifier Name Codes):

Text that would remain unchanged has been left in black:

The evaluation interval text value for data collection needs to be populated in SUPPQS as follows. The standard terminology for QNAM and QLABEL are listed below.

Dataset wrap
Namers


Rowcaps


Rows 131-1416:Items 11 and 12 are presented for illustrative purposes only. When the instrument is conducted, only one will be represented based on the CRF instructions. In this example, Item 12 would not appear in the actual dataset and has result values of "XXX".
Rows 15-16:Items 13 and 14 are presented for illustrative purposes only. When the instrument is conducted, only one will be represented based on the CRF instructions. In this example, Item 14 would not appear in the actual dataset and has result values of "XXX".
Row 33:The total score does not have an evaluation interval value represented, since there is a mixture of evaluation interval values with items 13 and 14 that differ from the remaining items on the CRF.
Show the symptom and area responses for the baseline visit.
Rows 17-29:Show the subscores and total scores for the baseline visit.
Rows 30-59:Show that the subject did not participate in the PASI V2 at their second visit.



Dataset2
Dataset2


RowSTUDYIDDOMAINUSUBJIDRSSEQRSTESTCDRSTESTRSCATRSORRESRSSTRESCRSSTRESNRSSTATRSREASNDRSLOBXFLVISITNUMRSDTCRSEVLINT
1STUDYXRS2324-P00011PASI0201PASI02-Head: Erythema/Redness
PASI V2Slight0101

Y12015-05-15-P7D
2STUDYXRS2324-P00012PASI0202PASI02-Head: Thickness/Induration
PASI V2None00

Y12015-05-15-P7D
3STUDYXRS2324-P00013PASI0203PASI02-Head: Desquamation/Scaling
PASI V2None00

Y12015-05-15-P7D
4STUDYXRS2324-P00014PASI0204PASI02-Head: Area Score
PASI V201% - 9%110

Y12015-05-15-P7D
5STUDYXRS2324-P00015PASI0205PASI02-Up Extrem: Erythema/Redness
PASI V2Mild2112

Y12015-05-15-P7D
6STUDYXRS2324-P00016PASI0206PASI02-Up Extrem: Thickness/Induration
PASI V2Slight11

Y12015-05-15-P7D
7STUDYXRS2324-P00017PASI0207PASI02-Up Extrem: Desquamation/Scaling
PASI V2Mild1212

Y12015-05-15-P7D
8STUDYXRS2324-P00018PASI0208PASI02-Up Extrem: Area Score
PASI V2130% - 49%331

Y12015-05-15-P7D
9STUDYXRS2324-P00019PASI0209PASI02-Trunk: Erythema/Redness
PASI V2None1010

Y12015-05-15-P7D
10STUDYXRS2324-P000110PASI0210PASI02-Trunk: Thickness/Induration
PASI V2NoneAfternoon0Afternoon0

Y12015-05-15-P7D
11STUDYXRS2324-P000111PASI0211PASI02-Trunk: Desquamation/Scaling
PASI V2AfternoonNoneAfternoon00

Y12015-05-15-P7D
12STUDYXRS2324-P000112PASI0212PASI02-Trunk: Area Score
PASI V2AfternoonNo Involvment00Afternoon

Y12015-05-15-P7D
13STUDYXRS2324-P000113PASI0213PASI02-Low Extrem: Erythema/Redness
PASI V2SlightAfternoon1Afternoon1

Y12015-05-15-P7D
14STUDYXRS2324-P000114PASI0214PASI02-Low Extrem: Thickness/Induration
PASI V2SlightAfternoon1Afternoon1

Y12015-05-15-P7D
15STUDYXRS2324-P000115PASI0215PASI02-Low Extrem: Desquamation/Scaling
PASI V2Slight1AfternoonAfternoon1

Y12015-05-15-P7D
16STUDYXRS2324-P000116PASI0216PASI02-Low Extrem: Area Score
PASI V210% - 29%Afternoon1Afternoon1

Y12015-05-15-P7D
17STUDYXRS2324-P000117PASI0217PASI02-Head: Sum of Symptom Scores
PASI V21Afternoon1Afternoon1

Y12015-05-15-P7D
18STUDYXRS2324-P000118PASI0218PASI02-Head: Sum X Area
PASI V2Afternoon1Afternoon11

Y12015-05-15-P7D
19STUDYXRS2324-P000119PASI0219PASI02-Head: Sum X Area X 0.1
PASI V2Afternoon0.10.10.1Afternoon

Y12015-05-15-P7D
20STUDYXRS2324-P000120PASI0220PASI02-Up Extrem: Sum of Symptom Scores
PASI V25Afternoon5Afternoon5

Y12015-05-15-P7D
21STUDYXRS2324-P000121PASI0221PASI02-Up Extrem: Sum X Area
PASI V215Afternoon15Afternoon15

Y12015-05-15-P7D
22STUDYXRS2324-P000122PASI0222PASI02-Up Extrem: Sum X Area X 0.2
PASI V23Afternoon3Afternoon3

Y12015-05-15-P7D
23STUDYXRS2324-P000123PASI0223PASI02-Trunk: Sum of Symptom Scores
PASI V20Afternoon0Afternoon0

Y12015-05-15-P7D
24STUDYXRS2324-P000124PASI0224PASI02-Trunk: Sum X Area
PASI V20Afternoon0Afternoon0

Y12015-05-15-P7D
2525STUDYXRS2324-P000125PASI0225PASI02-Trunk: Sum X Area X 0.3
PASI V200AfternoonAfternoon0

Y12015-05-15-P7D
26STUDYXRS2324-P000126PASI0226PASI02-Low Extrem: Sum of Symptom Scores
PASI V23Afternoon3Afternoon3

Y12015-05-15-P7D
27STUDYXRS2324-P000127PASI0227PASI02-Low Extrem: Sum X Area
PASI V23Afternoon3Afternoon3

Y12015-05-15-P7D
28STUDYXRS2324-P000128PASI0228PASI02-Low Extrem: Sum X Area X 0.4
PASI V2Afternoon1.21.21.2Afternoon

Y12015-05-15-P7D
29STUDYXRS2324-P000129PASI0229PASI02-Total Sum
PASI V2Afternoon4.34.34.3Afternoon

Y12015-05-15
30-P7DSTUDYX
Info
Dataset wrap
Namesuppqs
STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
STUDYXQSP0001QSSEQSequence number corresponding to row of qs.xpt that supplemental qualifier is needed for (e.g., 8)Appropriate variable name to provide more information about data in qs.xpt, no more than 8 characters long (e.g., CONTACT).Label for QNAM (e.g., Contact Type)Value of QNAM variable ( e.g., SUBJECT VISIT)CRF
RS2324-P000130PASI0201PASI02-Head: Erythema/Redness
PASI V2


NOT DONEREFUSED
22015-06-14
31STUDYXRS2324-P000131PASI0202PASI02-Head: Thickness/Induration
PASI V2


NOT DONEREFUSED
22015-06-14
32STUDYXRS2324-P000132PASI0203PASI02-Head: Desquamation/Scaling
PASI V2


NOT DONEREFUSED
22015-06-14
...














59STUDYXRS2324-P000159PASI0229PASI02-Total Sum
PASI V2


NOT DONEREFUSED
22015-06-14




4 SDTM Mapping Strategy

This section is used for reference regarding the CRF data capture and to understand the alignment of the instrument to the SDTM QS domain. It also provides guidance on how the result variables (QSORRES, QSSTRESC, and QSSTRESN) should be populated.

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Include mappings for all sets of result values. For ease of use of this template, the complete set of response values for the example in Section 3.2 is not included.

If the instrument has been entered into QRS Maker (all instruments should be), then the complete set of response values can be copied from QRS Maker and pasted into this supplement.

...

the instrument to the SDTM RS domain. It also provides guidance on how the result variables (RSORRES, RSSTRESC, and RSSTRESN) should be populated.


Info

For QRS instruments with subcategories:

When subcategories are used on an instrument, a table with the following introduction information should appear before the mappings for results.

QSSCAT alignment with QSTESTCD

As stated in Section 3.1 assumptions, items on the QRS Short_Name are grouped into subcategories. The table below includes the subcategory names along with the applicable item numbers for each category. The values of the subcategories are used to populate QSSCAT and are annotated on the CRF.

QSSCATQSTESTCD
EMOTIONAL/INFORMATIONAL SUPPORTQSSS0101 - QSSS0108
TANGIBLE SUPPORTQSSS0109 - QSSS0112
AFFECTIONATE SUPPORTQSSS0113 - QSSS0115
POSITIVE SOCIAL INTERACTIONQSSS0116 - QSSS0118
ADDITIONAL ITEMQSSS0119


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