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DateVersionSummary of Changes

2022-09-29

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2.0 Draft
  • This measure was re-evaluated to fit the definition of a clinical classification measure. The domain was changed from the QS to RS domain.
  • The EDSS v2.0 supplement was updated to the wiki Clinical Classifications supplement template.
  • The RSEVAL assumption was removed from this supplement, because it is not captured on the CRF and no assumptions are made on the potential values to include in the example.
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  • The example was reduced from 20 to 16 subjects. The original VISITNUM = 2 was revised to 1 and the RSLOBXFL variable was added to represent a baseline response.
  • The example was updated by adding USUBJID = "P0016" to represent how a missing visit is handled when the instrument was not filled out.
  • Added the description of the Functional Systems (FS) to section 4 SDTM Mapping Strategy.Added the description of the relationship between the Kurtzke Expanded Disability Status Scale (EDSS) and Kurtzke Functional Systems Scores (KFSS) instruments are intended to be used in conjunction with one another in section 3.1 Assumptions for theRSDomain Model.
  • Updated the example to include a subjects example of the KFSS responses serving as the source to determine the subjects EDSS score.
2013-10-231.0 Final


© 2022 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

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Note: CDISC Controlled Terminology is maintained by National Cancer Institute (NCI) Enterprise Vocabulary Services (EVS). The most recent version should be accessed through the CDISC website at: https://www.cdisc.org/standards/terminology/controlled-terminology.

Reference for the EDSS:

  • Kurtzke JF. Rating neurologic impairment in multiple sclerosis: An
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    expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52. 

3 The RS Domain Model

3.1 Assumptions for the RS Domain Model

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The EDSS is an ordinal clinical rating scale that is used to measure the disability status of subjects. The item response is a range from 0 to 10 in half-point increments that measures the disability status.

The Kurtzke Expanded Disability Status Scale (EDSS) and Kurtzke Functional Systems Scores (KFSS) instruments are intended to be used in conjunction with one another. The KFSS should first be administered by the evaluator and results from this assessment are then applied to determine an EDSS scale score (Kurtzke, 1983). A change in the EDSS should only occur if there has been a change of one or more in the Functional System (FS)

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scores. Please review the published Kurtzke Functional Systems Scores (KFSS) for details on the functional system scores.
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