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All assumptions and business rules described in the SDTMIG QS domain are applicable to this supplement. Additional assumptions specific to the FACT-HEP V4 are listed below.

The FACT-HEP V4 is a multiple-choice health-related quality of life questionnaire about problems associated with hepatobiliary cancer. It consists of 45 items rated on a 5-point scale.

  1. All items rated on a 5-point scale include a numeric rating (0-4) and a definition of what is represented by the rating (e.g., 0 = "Not at all", 4 = "Very much"). For the FACT-HEP V4, QSORRES is populated with the text description; the numeric rating is represented in the standardized character and numeric result variables QSSTRESC and QSSTRESN.

    1. FAC01514 may be rated on a 5-point scale or the subject may prefer not to answer. When the checkbox is marked that the subject prefers not to rate the item, this is noted with QSSTAT = "NOT DONE" and QSREASND = "PREFER NOT TO ANSWER". QSORRES, QSSTRESC, and QSSTRESN are all missing.

  2. The time period of evaluation for the FACT-HEP V4 is populated in the QSEVLINT field in ISO 8601 format when the evaluation interval can be precisely described as duration. The evaluation interval for the FACT-HEP V4 is the past 7 days (QSEVLINT = "-P7D").

  3. Items are divided into 5 subcategories represented in QSSCAT: "PHYSICAL WELL-BEING", "SOCIAL/FAMILY WELL-BEING", "EMOTIONAL WELL-BEING", "FUNCTIONAL WELL-BEING", and "ADDITIONAL CONCERNS".

  4. Records are created in qs.xpt for every item on the instrument

    1. For items with no data, QSORRES, QSSTRESC, and QSSTRESN are all missing and QSSTAT = "NOT DONE".  If the reason is known then that reason is represented in QSREASND (e.g., QSREASND = "LOGICALLY SKIPPED ITEM" or QSREASND = "PREFER NOT TO ANSWER"). If the reason is unknown, then QSSTAT = "NOT DONE" and QSREASND is missing.

  5. The FACT-HEP V4 instrument includes subscale scores for each subcategory in addition to trial outcome index, FACT-G, and total scores per FACIT.org's scoring materials and are considered as captured data on the CRF and are not considered as derived in the example below. These scores may be submitted in SDTM or derived in the Analysis Data Model (ADaM) per scoring instructions from FACIT.org.

    1. Subscores and total scores are represented in QSORRES.

    2. If scores are received or derived by the sponsor, it is recommended that they are submitted to SDTM and verified in ADaM whenever feasible.
  6. Terminology
    1. QSCAT, QSTESTCD, and QSTEST values are included in CDISC Controlled Terminology.

    2. A full list of value sets for the result field is provided in Section 4, SDTM Mapping Strategy.

3.2 Example for the QRS FACT-HEP V4 QS Domain Model

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The table represents the items from the QRS Short_Name instrument FACT-HEP V4 instrument.

Dataset wrap
Nameqs
Rowcaps
Rows 13-14: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.
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSREASNDQSLOBXFLVISITNUMQSDTCQSEVLINT
1STUDYXQS2324-P00011IDSR101FAC01501IDSR1-Falling AsleepIDS-SRI never take longer than 30 minutes to fall asleepFAC015-I Have a Lack of EnergyFACT-HEP V4
00

Y12015-05-15-P7D
2STUDYXQS2324-P00012IDSR102FAC01502IDSR1-Sleep During the NightIDS-SRFAC015-I Have NauseaFACT-HEP V4I do not wake up at night
00

Y12015-05-15-P7D
3STUDYXQS2324-P00013IDSR103FAC01503IDSR1-Waking Up Too EarlyIDS-SRMost of the time, I awaken no more than 30 minutes before I need to get upFAC015-Trouble Meeting Needs of FamilyFACT-HEP V4
00

Y12015-05-15-P7D
4STUDYXQS2324-P00014IDSR104FAC01504IDSR1-Sleeping Too MuchIDS-SRI sleep no longer than 7-8 hours/night, without napping during the day00Y1FAC015-I Have PainFACT-HEP V4
00

Y12015-05-2015-05-15-P7D
5STUDYXQS2324-P00015IDSR105FAC01505IDSR1-Feeling SadIDS-SRI feel sad less than half the timeFAC015-Botheredby Treatment Side EffectFACT-HEP V4
11

Y12015-05-15-P7D
6STUDYXQS2324-P00016IDSR106FAC01506IDSR1- Feeling IrritableIDS-SRI feel irritable less than half the time11FAC015-I Feel IllFACT-HEP V4
11

Y12015-05-15-P7D
7STUDYXQS2324-P00017IDSR107FAC01507IDSR1-Feeling Anxious or TenseIDS-SRI feel anxious (tense) less than half the timeFAC015-I Am Forced to Spend Time in BedFACT-HEP V4
11

Y12015-05-15-P7D
8STUDYXQS2324-P00018IDSR108FAC01508IDSR1-Your Mood to Good/Desired EventsIDS-SRMy mood brightens but I do not feel like my normal self when good events occur1FAC015-I Feel Close to My FriendsFACT-HEP V4
11

Y12015-05-15-P7D
9STUDYXQS2324-P00019IDSR109FAC01509IDSR1-Mood in Relation to Time of DayIDS-SRMy mood often relates to the time of day because of environmental events (e.g., being alone, working)FAC015-Get Emotional Support From FamilyFACT-HEP V4
11

Y12015-05-15-P7D
10STUDYXQS2324-P000110IDSR109AFAC01510FAC015-I Get Support From FriendsFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01511FAC015-My Family Has Accepted My IllnessFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01512FAC015-Satisfied Communication IllnessFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01513FAC015-I Feel close to My PartnerFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01514FAC015-I Am Satisfied With My Sex LifeFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01515FAC015-I Feel SadFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01516FAC015-Satisfied With How I Am CopingFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01517FAC015-Losing Hope Against IllnessFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01518FAC015-I Feel NervousFACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01519FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4




Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-FACT-HEP V4IDSR1-Mood Worse Morn/Afternoon/NightIDS-SRAfternoonAfternoon




Y12015-05-15-P7D
Rows 11-32 removed for ease of use of template. (fyi, this row has merged cells so don't try to overwrite it when using the template; just delete it.)3310STUDYXQS2324-P00013310IDSR131FAC01510IDSR1FAC015-ScoreIDS-SR181818FACT-HEP V4




Y12015-05-15-P7D

















Info

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
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

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