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Title

Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 (FACT-HEP V4)

CDISC ReferenceQuestionnaire Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials
QRS Short Name

FACT-HEP V4

QRS Permission StatusApprove
TeamPancreatic Cancer Standards Team and CDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusDRAFT
Date2002-1011-28 01
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.

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Revision History

DateVersion
2022-1011-28011.0 Draft

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

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  • Copyright 1987, 1997 David Cella, Ph.D.
  • These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.
Info

Notes on the use of quotation marks:

  • Use for text values of a Likert scale: e.g., ...with response options ranging from “never” to “daily."
  • Actual numbers of the scale (e.g., 0-3) do not appear in quotation marks while the definitions of these anchors (e.g., 5 = “I always fall asleep”) do.
  • Enclose values for variables within quotation marks (e.g., QSTESTCD = "IPA0102")

3 The QS Domain Model

3.1 Assumptions for the QS Domain Model

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.



3 The QS Domain Model

3.1 Assumptions for the QS Domain Model

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

  5. 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.

  6. 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").

  7. 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".

  8. 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.

  9. 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.
  10. 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.

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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.with items 13 and 14 that differ from the remaining items on the CRF.
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSREASNDQSLOBXFLVISITNUMQSDTCQSEVLINT
1STUDYXQS2324-P00011FAC01501FAC015-I Have a Lack of EnergyFACT-HEP V4
00

Y12015-05-15-P7D
2STUDYXQS2324-P00012FAC01502FAC015-I Have NauseaFACT-HEP V4
00

Y12015-05-15-P7D
3STUDYXQS2324-P00013FAC01503FAC015-Trouble Meeting Needs of FamilyFACT-HEP V4
00

Y12015-05-15-P7D
4STUDYXQS2324-P00014FAC01504FAC015-I Have PainFACT-HEP V4
00

Y12015-05-15-P7D
5STUDYXQS2324-P00015FAC01505FAC015-Botheredby Treatment Side EffectFACT-HEP V4
11

Y12015-05-15-P7D
6STUDYXQS2324-P00016FAC01506FAC015-I Feel IllFACT-HEP V4
11

Y12015-05-15-P7D
7STUDYXQS2324-P00017FAC01507FAC015-I Am Forced to Spend Time in BedFACT-HEP V4
11

Y12015-05-15-P7D
8STUDYXQS2324-P00018FAC01508FAC015-I Feel Close to My FriendsFACT-HEP V4
11

Y12015-05-15-P7D
9STUDYXQS2324-P00019FAC01509FAC015-Get Emotional Support From FamilyFACT-HEP V4
11

Y12015-05-15-P7D
10STUDYXQS2324-P000110FAC01510FAC015-I Get Support From FriendsFACT-HEP V4




Y12015-05-15-P7D
11STUDYXQS2324-P000111FAC01511FAC015-My Family Has Accepted My IllnessFACT-HEP V4




Y12015-05-15-P7D
12STUDYXQS2324-P000112FAC01512FAC015-Satisfied Communication IllnessFACT-HEP V4




Y12015-05-15-P7D
13STUDYXQS2324-P000113FAC01513FAC015-I Feel close to My PartnerFACT-HEP V4




Y12015-05-15-P7D
14STUDYXQS2324-P000114FAC01514FAC015-I Am Satisfied With My Sex LifeFACT-HEP V4




Y12015-05-15-P7D
15STUDYXQS2324-P000115FAC01515FAC015-I Feel SadFACT-HEP V4




Y12015-05-15-P7D
16STUDYXQS2324-P000116FAC01516FAC015-Satisfied With How I Am CopingFACT-HEP V4




Y12015-05-15-P7D
17STUDYXQS2324-P000117FAC01517FAC015-Losing Hope Against IllnessFACT-HEP V4




Y12015-05-15-P7D
18STUDYXQS2324-P000118FAC01518FAC015-I Feel NervousFACT-HEP V4




Y12015-05-15-P7D
19
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSREASNDQSLOBXFLVISITNUMQSDTCQSEVLINT
1STUDYXQS2324-P0001119FAC01501FAC01519FAC015-I Have a Lack of EnergyWorry About DyingFACT-HEP V400




Y12015-05-15-P7D
220STUDYXQS2324-P0001220FAC01502FAC01520FAC015-I Have NauseaWorry My Condition Will Get WorseFACT-HEP V400




Y12015-05-15-P7D
321STUDYXQS2324-P0001321FAC01503FAC01521FAC015-Trouble Meeting Needs of FamilyI Am Able to WorkFACT-HEP V400




Y12015-05-15-P7D
422STUDYXQS2324-P0001422FAC01504FAC01522FAC015-I Have PainMy Work Is FulfillingFACT-HEP V400




Y12015-05-15-P7D
523STUDYXQS2324-P0001523FAC01505FAC01523FAC015-Botheredby Treatment Side EffectI Am Able to Enjoy LifeFACT-HEP V411V4




Y12015-05-15-P7D
624STUDYXQS2324-P0001624FAC01506FAC01524FAC015-I Feel IllHave Accepted My IllnessFACT-HEP V411




Y12015-05-15-P7D
725STUDYXQS2324-P0001725FAC01507FAC01525FAC015-I Am Forced to Spend Time in BedSleeping WellFACT-HEP V411




Y12015-05-15-P7D
826STUDYXQS2324-P0001826FAC01508FAC01526FAC015-I Feel Close to My FriendsEnjoy Things I Usually Do for FunFACT-HEP V411




Y12015-05-15-P7D
927STUDYXQS2324-P0001927FAC01509FAC01527FAC015-Get Emotional Support From FamilyContent With Quality of My LifeFACT-HEP V411




Y12015-05-15-P7D
1028STUDYXQS2324-P00011028FAC01510FAC01528FAC015-I Get Support From FriendsSwelling/Cramps in Stomach AreaFACT-HEP V4




Y12015-05-15-P7D
1129STUDYXQS2324-P00011129FAC01511FAC01529FAC015-My Family Has Accepted My IllnessI Am Losing WeightFACT-HEP V4




Y12015-05-15-P7D
1230STUDYXQS2324-P00011230FAC01512FAC01530FAC015-Satisfied Communication IllnessI Have Control of My BowelsFACT-HEP V4




Y12015-05-15-P7D
1331STUDYXQS2324-P00011331FAC01513FAC01531FAC015-I Feel close to My PartnerCan Digest My Food WellFACT-HEP V4




Y12015-05-15-P7D
1432STUDYXQS2324-P00011432FAC01514FAC01532FAC015-I Am Satisfied With My Sex LifeHave DiarrheaFACT-HEP V4




Y12015-05-15-P7D
1533STUDYXQS2324-P00011533FAC01515FAC01533FAC015-I Feel SadHave a Good AppetiteFACT-HEP V4




Y12015-05-15-P7D
1634STUDYXQS2324-P00011634FAC01516FAC01534FAC015-Satisfied With How I Am CopingUnhappy About Change in My AppearFACT-HEP V4




Y12015-05-15-P7D
1735STUDYXQS2324-P00011735FAC01517FAC01535FAC015-Losing Hope Against IllnessI Have Pain in My BackFACT-HEP V4




Y12015-05-15-P7D
1836STUDYXQS2324-P00011836FAC01518FAC01536FAC015-I Feel NervousAm Bothered by ConstipationFACT-HEP V4




Y12015-05-15-P7D
1937STUDYXQS2324-P00011937FAC01519FAC01537FAC015-I Feel FatiguedFACT-HEP V4




Y12015-05-15-P7D
2038STUDYXQS2324-P00012038FAC01520FAC01538FAC015-Able to Do My Usual ActivitiesFACT-HEP V4




Y12015-05-15-P7D
2139STUDYXQS2324-P00012139FAC01521FAC01539FAC015-Bothered by Jaundice/Yellow SkinFACT-HEP V4




Y12015-05-15-P7D
2240STUDYXQS2324-P00012240FAC01522FAC01540FAC015-I Have Had FeversFACT-HEP V4




Y12015-05-15-P7D
2341STUDYXQS2324-P00012341FAC01523FAC01541FAC015-I Have Had ItchingFACT-HEP V4




Y12015-05-15-P7D
2442STUDYXQS2324-P00012442FAC01524FAC01542FAC015-Had Change in the Way Food TastesFACT-HEP V4




Y12015-05-15-P7D
2543STUDYXQS2324-P00012543FAC01525FAC01543FAC015-I Have Had ChillsFACT-HEP V4




Y12015-05-15-P7D
2644STUDYXQS2324-P00012644FAC01526FAC01544FAC015-My Mouth Is DryFACT-HEP V4




Y12015-05-15-P7D
2745STUDYXQS2324-P00012745FAC01527FAC01545FAC015-Discomfort/Pain in Stomach AreaFACT-HEP V4




Y12015-05-15-P7D

















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