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Title | Functional Assessment of Anorexia/Cachexia Treatment Version 4 (FAACT V4) |
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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 | ApproveApproved |
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Team | Pancreatic Cancer Standards Team and CDISC Questionnaires, Ratings, and Scales (QRS) Subteam |
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Supplement Version | 1.0 |
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Status | DRAFT |
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Date | 20022023-1102-1610 |
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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.
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Revision History
Date | Version |
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20222023-1102-1610 | 1.0 Draft |
© 2022 2023 Clinical Data Interchange Standards Consortium, Inc. All rights reserved.
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Although the United States Food and Drug Administration (US FDA) has provided input with regard to this supplement, this input does not constitute US FDA endorsement of any particular instrument.
2 Copyright Status
David Cella, PhD. owns the copyright for the FAACT V4 instrument and has granted CDISC permission to include this supplement in the CDISC inventory of QRS data standards supplements. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the instrument.
The CDISC documentation of this instrument consists of: (1) controlled terminology, (2) standard database structure with examples, and (3) CRF(s) annotated with the CDISC SDTMIG variables with submission values.
Info |
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title | Information for Reviewers |
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The CRF is attached at the top of the Wiki. When you click the paperclip image, you will find the file for the annotated CRF. |
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.
CDISC has developed this documentation at no cost to the copyright holder or any additional cost to users of the instrument beyond the normal license fees charged by the copyright holder.
CDISC acknowledges Dr. David Cella and FACIT.org, for the approval to include the FAACT V4 in the CDISC data standards.
Reference for the FAACT V4:
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. Copyright 1987, 1997 David Cella, Ph.D.
The CDISC documentation of this instrument consists of: (1) controlled terminology, (2) standard database structure with examples, and (3) CRF(s) annotated with the CDISC SDTMIG variables with submission values.
Info |
---|
title | Information for Reviewers |
---|
|
The CRF is attached at the top of the Wiki. When you click the paperclip image, you will find the file for the annotated CRF. |
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.
CDISC has developed this documentation at no cost to the copyright holder or any additional cost to users of the instrument beyond the normal license fees charged by the copyright holder.
CDISC acknowledges Dr. David Cella and FACIT.org, for the approval to include the FAACT V4 in the CDISC data standards.
Reference for the FAACT V4:
- FACIT.org for more information as well as the scoring guide
- 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.
3 The QS Domain Model
3.1 Assumptions for the QS Domain Model
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Dataset wrap |
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Dataset2 |
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Row | STUDYID | DOMAIN | USUBJID | QSSEQ | QSTESTCD | QSTEST | QSCAT | QSSCAT | QSORRES | QSSTRESC | QSSTRESN | QSSTAT | QSREASND | QSLOBXFL | VISITNUM | QSDTC | QSEVLINT |
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1 | STUDYX | QS | 2324-P0001 | 1 | FAC06501 | FAC065-I Have a Lack of Energy | FAACT V4 | PHYSICAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 2 | STUDYX | QS | 2324-P0001 | 2 | FAC06502 | FAC065-I Have Nausea | FAACT V4 | PHYSICAL WELL-BEING | Not at all | 0 | 0 |
|
| Y | 1 | 2015-05-15 | -P7D | 3 | STUDYX | QS | 2324-P0001 | 3 | FAC06503 | FAC065-Trouble Meeting Needs of Family | FAACT V4 | PHYSICAL WELL-BEING | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 4 | STUDYX | QS | 2324-P0001 | 4 | FAC06504 | FAC065-I Have Pain | FAACT V4 | PHYSICAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 5 | STUDYX | QS | 2324-P0001 | 5 | FAC06505 | FAC065-Botheredby Treatment Side Effect | FAACT V4 | PHYSICAL WELL-BEING | Not at all | 0 | 0 |
|
| Y | 1 | 2015-05-15 | -P7D | 6 | STUDYX | QS | 2324-P0001 | 6 | FAC06506 | FAC065-I Feel Ill | FAACT V4 | PHYSICAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 7 | STUDYX | QS | 2324-P0001 | 7 | FAC06507 | FAC065-I Am Forced to Spend Time in Bed | FAACT V4 | PHYSICAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 8 | STUDYX | QS | 2324-P0001 | 8 | FAC06508 | FAC065-I Feel Close to My Friends | FAACT V4 | SOCIAL/FAMILY WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 9 | STUDYX | QS | 2324-P0001 | 9 | FAC06509 | FAC065-Get Emotional Support From Family | FAACT V4 | SOCIAL/FAMILY WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 10 | STUDYX | QS | 2324-P0001 | 10 | FAC06510 | FAC065-I Get Support From Friends | FAACT V4 | SOCIAL/FAMILY WELL-BEING | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 11 | STUDYX | QS | 2324-P0001 | 11 | FAC06511 | FAC065-My Family Has Accepted My Illness | FAACT V4 | SOCIAL/FAMILY WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 12 | STUDYX | QS | 2324-P0001 | 12 | FAC06512 | FAC065-Satisfied Communication Illness | FAACT V4 | SOCIAL/FAMILY WELL-BEING | Very much | 4 | 4 |
|
| Y | 1 | 2015-05-15 | -P7D | 13 | STUDYX | QS | 2324-P0001 | 13 | FAC06513 | FAC065-I Feel Close to My Partner | FAACT V4 | SOCIAL/FAMILY WELL-BEING | Very much | 4 | 4 |
|
| Y | 1 | 2015-05-15 | -P7D | 14 | STUDYX | QS | 2324-P0001 | 14 | FAC06514 | FAC065-I Am Satisfied With My Sex Life | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE | PREFER NOT TO ANSWER | Y | 1 | 2015-05-15 | -P7D | 15 | STUDYX | QS | 2324-P0001 | 15 | FAC06515 | FAC065-I Feel Sad | FAACT V4 | EMOTIONAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 16 | STUDYX | QS | 2324-P0001 | 16 | FAC06516 | FAC065-Satisfied With How I Am Coping | FAACT V4 | EMOTIONAL WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 17 | STUDYX | QS | 2324-P0001 | 17 | FAC06517 | FAC065-Losing Hope Against Illness | FAACT V4 | EMOTIONAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 18 | STUDYX | QS | 2324-P0001 | 18 | FAC06518 | FAC065-I Feel Nervous | FAACT V4 | EMOTIONAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 19 | STUDYX | QS | 2324-P0001 | 19 | FAC06519 | FAC065-I Worry About Dying | FAACT V4 | EMOTIONAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 20 | STUDYX | QS | 2324-P0001 | 20 | FAC06520 | FAC065-Worry My Condition Will Get Worse | FAACT V4 | EMOTIONAL WELL-BEING | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 21 | STUDYX | QS | 2324-P0001 | 21 | FAC06521 | FAC065-I Am Able to Work | FAACT V4 | FUNCTIONAL WELL-BEING | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 22 | STUDYX | QS | 2324-P0001 | 22 | FAC06522 | FAC065-My Work Is Fulfilling | FAACT V4 | FUNCTIONAL WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 23 | STUDYX | QS | 2324-P0001 | 23 | FAC06523 | FAC065-I Am Able to Enjoy Life | FAACT V4 | FUNCTIONAL WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 24 | STUDYX | QS | 2324-P0001 | 24 | FAC06524 | FAC065-I Have Accepted My Illness | FAACT V4 | FUNCTIONAL WELL-BEING | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 25 | STUDYX | QS | 2324-P0001 | 25 | FAC06525 | FAC065-I Am Sleeping Well | FAACT V4 | FUNCTIONAL WELL-BEING | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 26 | STUDYX | QS | 2324-P0001 | 26 | FAC06526 | FAC065-Enjoy Things I Usually Do for Fun | FAACT V4 | FUNCTIONAL WELL-BEING | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 27 | STUDYX | QS | 2324-P0001 | 27 | FAC06527 | FAC065-Content With Quality of My Life | FAACT V4 | FUNCTIONAL WELL-BEING | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 28 | STUDYX | QS | 2324-P0001 | 28 | FAC06528 | FAC065-I Have a Good Appetite | FAACT V4 | ADDITIONAL CONCERNS | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 29 | STUDYX | QS | 2324-P0001 | 29 | FAC06529 | FAC065-Amount I Eat Is Sufficient | FAACT V4 | ADDITIONAL CONCERNS | Not at all | 0 | 0 |
|
| Y | 1 | 2015-05-15 | -P7D | 30 | STUDYX | QS | 2324-P0001 | 30 | FAC06530 | FAC065-I Am Worried About My Weight | FAACT V4 | ADDITIONAL CONCERNS | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 31 | STUDYX | QS | 2324-P0001 | 31 | FAC06531 | FAC065-Most Food Tastes Unpleasant to Me | FAACT V4 | ADDITIONAL CONCERNS | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 32 | STUDYX | QS | 2324-P0001 | 32 | FAC06532 | FAC065-I Am Concerned How Thin I Look | FAACT V4 | ADDITIONAL CONCERNS | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 33 | STUDYX | QS | 2324-P0001 | 33 | FAC06533 | FAC065-Interest in Food Drops Try to Eat | FAACT V4 | ADDITIONAL CONCERNS | Quite a bit | 3 | 3 |
|
| Y | 1 | 2015-05-15 | -P7D | 34 | STUDYX | QS | 2324-P0001 | 34 | FAC06534 | FAC065-Have Difficulty Eating Rich Foods | FAACT V4 | ADDITIONAL CONCERNS | Not at all | 0 | 0 |
|
| Y | 1 | 2015-05-15 | -P7D | 35 | STUDYX | QS | 2324-P0001 | 35 | FAC06535 | FAC065-My Family Pressuring Me to Eat | FAACT V4 | ADDITIONAL CONCERNS | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 36 | STUDYX | QS | 2324-P0001 | 36 | FAC06536 | FAC065-I Have Been Vomiting | FAACT V4 | ADDITIONAL CONCERNS | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 37 | STUDYX | QS | 2324-P0001 | 37 | FAC06537 | FAC065-I Seem to Get Full Quickly | FAACT V4 | ADDITIONAL CONCERNS | Somewhat | 2 | 2 |
|
| Y | 1 | 2015-05-15 | -P7D | 38 | STUDYX | QS | 2324-P0001 | 38 | FAC06538 | FAC065-I Have Pain in My Stomach Area | FAACT V4 | ADDITIONAL CONCERNS | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 39 | STUDYX | QS | 2324-P0001 | 39 | FAC06539 | FAC065-My General Health Is Improving | FAACT V4 | ADDITIONAL CONCERNS | A little bit | 1 | 1 |
|
| Y | 1 | 2015-05-15 | -P7D | 40 | STUDYX | QS | 2324-P0001 | 40 | FAC06540 | FAC065-Physical Subscale Score | FAACT V4 |
| 22 | 22 | 22 |
|
| Y | 1 | 2015-05-15 | -P7D | 41 | STUDYX | QS | 2324-P0001 | 41 | FAC06541 | FAC065-Social/Family Subscale Score | FAACT V4 |
| 22 | 22 | 22 |
|
| Y | 1 | 2015-05-15 | -P7D | 42 | STUDYX | QS | 2324-P0001 | 42 | FAC06542 | FAC065-Emotional Subscale Score | FAACT V4 |
| 17 | 17 | 17 |
|
| Y | 1 | 2015-05-15 | -P7D | 43 | STUDYX | QS | 2324-P0001 | 43 | FAC06543 | FAC065-Functional Subscale Score | FAACT V4 |
| 16 | 16 | 16 |
|
| Y | 1 | 2015-05-15 | -P7D | 44 | STUDYX | QS | 2324-P0001 | 44 | FAC06544 | FAC065-Additional Concern Subscale Score | FAACT V4 |
| 24 | 24 | 24 |
|
| Y | 1 | 2015-05-15 | -P7D | 45 | STUDYX | QS | 2324-P0001 | 45 | FAC06545 | FAC065-Trial Outcome Index Score | FAACT V4 |
| 62 | 62 | 62 |
|
| Y | 1 | 2015-05-15 | -P7D | 46 | STUDYX | QS | 2324-P0001 | 46 | FAC06546 | FAC065-FACT-G Total Score | FAACT V4 |
| 77 | 77 | 77 |
|
| Y | 1 | 2015-05-15 | -P7D | 47 | STUDYX | QS | 2324-P0001 | 47 | FAC06547 | FAC065-Total Score | FAACT V4 |
| 101 | 101 | 101 |
|
| Y | 1 | 2015-05-15 | -P7D | 48 | STUDYX | QS | 2324-P0001 | 48 | FAC06501 | FAC065-I Have a Lack of Energy | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 49 | STUDYX | QS | 2324-P0001 | 49 | FAC06502 | FAC065-I Have Nausea | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 50 | STUDYX | QS | 2324-P0001 | 50 | FAC06503 | FAC065-Trouble Meeting Needs of Family | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 51 | STUDYX | QS | 2324-P0001 | 51 | FAC06504 | FAC065-I Have Pain | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 52 | STUDYX | QS | 2324-P0001 | 52 | FAC06505 | FAC065-Botheredby Treatment Side Effect | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 53 | STUDYX | QS | 2324-P0001 | 53 | FAC06506 | FAC065-I Feel Ill | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 54 | STUDYX | QS | 2324-P0001 | 54 | FAC06507 | FAC065-I Am Forced to Spend Time in Bed | FAACT V4 | PHYSICAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 55 | STUDYX | QS | 2324-P0001 | 55 | FAC06508 | FAC065-I Feel Close to My Friends | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 56 | STUDYX | QS | 2324-P0001 | 56 | FAC06509 | FAC065-Get Emotional Support From Family | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 57 | STUDYX | QS | 2324-P0001 | 57 | FAC06510 | FAC065-I Get Support From Friends | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 58 | STUDYX | QS | 2324-P0001 | 58 | FAC06511 | FAC065-My Family Has Accepted My Illness | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 59 | STUDYX | QS | 2324-P0001 | 59 | FAC06512 | FAC065-Satisfied Communication Illness | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 60 | STUDYX | QS | 2324-P0001 | 60 | FAC06513 | FAC065-I Feel Close to My Partner | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 61 | STUDYX | QS | 2324-P0001 | 61 | FAC06514 | FAC065-I Am Satisfied With My Sex Life | FAACT V4 | SOCIAL/FAMILY WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 62 | STUDYX | QS | 2324-P0001 | 62 | FAC06515 | FAC065-I Feel Sad | FAACT V4 | EMOTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 63 | STUDYX | QS | 2324-P0001 | 63 | FAC06516 | FAC065-Satisfied With How I Am Coping | FAACT V4 | EMOTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 64 | STUDYX | QS | 2324-P0001 | 64 | FAC06517 | FAC065-Losing Hope Against Illness | FAACT V4 | EMOTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 65 | STUDYX | QS | 2324-P0001 | 65 | FAC06518 | FAC065-I Feel Nervous | FAACT V4 | EMOTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 66 | STUDYX | QS | 2324-P0001 | 66 | FAC06519 | FAC065-I Worry About Dying | FAACT V4 | EMOTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 67 | STUDYX | QS | 2324-P0001 | 67 | FAC06520 | FAC065-Worry My Condition Will Get Worse | FAACT V4 | EMOTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 68 | STUDYX | QS | 2324-P0001 | 68 | FAC06521 | FAC065-I Am Able to Work | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 69 | STUDYX | QS | 2324-P0001 | 69 | FAC06522 | FAC065-My Work Is Fulfilling | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 70 | STUDYX | QS | 2324-P0001 | 70 | FAC06523 | FAC065-I Am Able to Enjoy Life | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 71 | STUDYX | QS | 2324-P0001 | 71 | FAC06524 | FAC065-I Have Accepted My Illness | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 72 | STUDYX | QS | 2324-P0001 | 72 | FAC06525 | FAC065-I Am Sleeping Well | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 73 | STUDYX | QS | 2324-P0001 | 73 | FAC06526 | FAC065-Enjoy Things I Usually Do for Fun | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 74 | STUDYX | QS | 2324-P0001 | 74 | FAC06527 | FAC065-Content With Quality of My Life | FAACT V4 | FUNCTIONAL WELL-BEING |
|
|
| NOT DONE |
|
| 2 |
|
| 75 | STUDYX | QS | 2324-P0001 | 75 | FAC06528 | FAC065-I Have a Good Appetite | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 76 | STUDYX | QS | 2324-P0001 | 76 | FAC06529 | FAC065-Amount I Eat Is Sufficient | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 77 | STUDYX | QS | 2324-P0001 | 77 | FAC06530 | FAC065-I Am Worried About My Weight | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 78 | STUDYX | QS | 2324-P0001 | 78 | FAC06531 | FAC065-Most Food Tastes Unpleasant to Me | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 79 | STUDYX | QS | 2324-P0001 | 79 | FAC06532 | FAC065-I Am Concerned How Thin I Look | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 80 | STUDYX | QS | 2324-P0001 | 80 | FAC06533 | FAC065-Interest in Food Drops Try to Eat | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 81 | STUDYX | QS | 2324-P0001 | 81 | FAC06534 | FAC065-Have Difficulty Eating Rich Foods | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 82 | STUDYX | QS | 2324-P0001 | 82 | FAC06535 | FAC065-My Family Pressuring Me to Eat | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 83 | STUDYX | QS | 2324-P0001 | 83 | FAC06536 | FAC065-I Have Been Vomiting | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 84 | STUDYX | QS | 2324-P0001 | 84 | FAC06537 | FAC065-I Seem to Get Full Quickly | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 85 | STUDYX | QS | 2324-P0001 | 85 | FAC06538 | FAC065-I Have Pain in My Stomach Area | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 86 | STUDYX | QS | 2324-P0001 | 86 | FAC06539 | FAC065-My General Health Is Improving | FAACT V4 | ADDITIONAL CONCERNS |
|
|
| NOT DONE |
|
| 2 |
|
| 87 | STUDYX | QS | 2324-P0001 | 87 | FAC06540 | FAC065-Physical Subscale Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 88 | STUDYX | QS | 2324-P0001 | 88 | FAC06541 | FAC065-Social/Family Subscale Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 89 | STUDYX | QS | 2324-P0001 | 89 | FAC06542 | FAC065-Emotional Subscale Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 90 | STUDYX | QS | 2324-P0001 | 90 | FAC06543 | FAC065-Functional Subscale Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 91 | STUDYX | QS | 2324-P0001 | 91 | FAC06544 | FAC065-Additional Concern Subscale Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 92 | STUDYX | QS | 2324-P0001 | 92 | FAC06545 | FAC065-Trial Outcome Index Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 93 | STUDYX | QS | 2324-P0001 | 93 | FAC06546 | FAC065-FACT-G Total Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
| 94 | STUDYX | QS | 2324-P0001 | 94 | FAC06547 | FAC065-Total Score | FAACT V4 |
|
|
|
| NOT DONE |
|
| 2 |
|
|
|
|
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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