Versions Compared

Old Version 25

changes.mady.by.user Unknown User (ljoshua1)

Saved on

compared with

New Version 26

changes.mady.by.user Steve Kopko

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

Page properties
Title

Chronic Respiratory Questionnaire - Self-Administered Standardized Format First Administration Version (CRQ-SAS FIRST ADMINISTRATION VERSION)

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

CRQ-SAS FIRST ADMINISTRATION VERSION

QRS Permission StatusApproved
TeamCDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version2.0
StatusREVISION DRAFT
Date2023-03-1423
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.

...

DateVersionSummary of Changes
2023-03-14232.0
  • Converted the supplement to the current WIKI QRS supplement template.
  • Annotated CRF updated to the MSG V2.0 annotation guidelines
  • Removed the QSEVAL assumption and variables as this is not captured on the CRF and no assumptions are made on potential values.
  • The “QSBLFL” variable was replaced with the “QSLOBXFL” variable in the example to represent a baseline response for visit 1.
  • An additional subject was added to the data example to show how missing data is handled when the instrument was not completed.
2015-02-181.0Initial Final Version

© 2022 2023 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

...

CDISC specifies how to structure the data that has been collected in a database, not what should be collected or how to conduct clinical assessments or implement protocols. CDISC disclaims any liability for your use of this material.

...

Dataset wrap
Nameqs
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSLOBXFLVISITNUMQSDTCQSEVLINT
1STUDYXQS2324-P00011CRQ0101CRQ01-Feeling EmotionalCRQ-SAS FIRST ADMINISTRATION VERSIONExtremely short of breath11
Y12022-05-15-P2W
2STUDYXQS2324-P00012CRQ0102CRQ01-Take Care of Basic NeedsCRQ-SAS FIRST ADMINISTRATION VERSIONVery short of breath22
Y12022-05-15-P2W
3STUDYXQS2324-P00013CRQ0103CRQ01-WalkingCRQ-SAS FIRST ADMINISTRATION VERSIONModerate shortness of breath44
Y12022-05-15-P2W
4STUDYXQS2324-P00014CRQ0104CRQ01-Performing ChoresCRQ-SAS FIRST ADMINISTRATION VERSIONNot at all short of breath77
Y12022-05-15-P2W
5STUDYXQS2324-P00015CRQ0105CRQ01-Participate in Social ActivitiesCRQ-SAS FIRST ADMINISTRATION VERSIONNot Done88
Y12022-05-15-P2W
6STUDYXQS2324-P00016CRQ0106CRQ01-Felt Frustrated or ImpatientCRQ-SAS FIRST ADMINISTRATION VERSIONA good bit of the time33
Y12022-05-15-P2W
7STUDYXQS2324-P00017CRQ0107CRQ01-Feeling of Fear or PanicCRQ-SAS FIRST ADMINISTRATION VERSIONSome of the time44
Y12022-05-15-P2W
8STUDYXQS2324-P00018CRQ0108CRQ01-FatigueCRQ-SAS FIRST ADMINISTRATION VERSIONExtremely tired11
Y12022-05-15-P2W
9STUDYXQS2324-P00019CRQ0109CRQ01-Embarrassed by CoughingCRQ-SAS FIRST ADMINISTRATION VERSIONA little of the time55
Y12022-05-15-P2W
10STUDYXQS2324-P000110CRQ0110CRQ01-Confident to Deal With IllnessCRQ-SAS FIRST ADMINISTRATION VERSIONA little of the time22
Y12022-05-15-P2W
11STUDYXQS2324-P000111CRQ0111CRQ01-EnergyCRQ-SAS FIRST ADMINISTRATION VERSIONFull of energy77
Y12022-05-15-P2W
12STUDYXQS2324-P000112CRQ0112CRQ01-Feel Upset, Worried or DepressedCRQ-SAS FIRST ADMINISTRATION VERSIONHardly any of the time66
Y12022-05-15-P2W
13STUDYXQS2324-P000113CRQ0113CRQ01-Control of Breathing ProblemsCRQ-SAS FIRST ADMINISTRATION VERSIONMost of the time55
Y12022-05-15-P2W
14STUDYXQS2324-P000114CRQ0114CRQ01-Feel Relaxed and Free of TensionCRQ-SAS FIRST ADMINISTRATION VERSIONA good bit of the time44
Y12022-05-15-P2W
15STUDYXQS2324-P000115CRQ0115CRQ01-Felt Low in EnergyCRQ-SAS FIRST ADMINISTRATION VERSIONA good bit of the time33
Y12022-05-15-P2W
16STUDYXQS2324-P000116CRQ0116CRQ01-Felt Discouraged or DownCRQ-SAS FIRST ADMINISTRATION VERSIONMost of the time22
Y12022-05-15-P2W
17STUDYXQS2324-P000117CRQ0117CRQ01-Felt Worn Out or SluggishCRQ-SAS FIRST ADMINISTRATION VERSIONAll of the time11
Y12022-05-15-P2W
18STUDYXQS2324-P000118CRQ0118CRQ01-Happy, Satisfied or PleasedCRQ-SAS FIRST ADMINISTRATION VERSIONHappy most of the time55
Y12022-05-15-P2W
19STUDYXQS2324-P000119CRQ0119CRQ01-Feel Upset Diff Getting BreathCRQ-SAS FIRST ADMINISTRATION VERSIONMost of the time22
Y12022-05-15-P2W
20STUDYXQS2324-P000120CRQ0120CRQ01-Felt Restless, Tense or UptightCRQ-SAS FIRST ADMINISTRATION VERSIONSome of the time44
Y12022-05-15-P2W
21STUDYXQS2324-P000221CRQ0101CRQ01-Feeling EmotionalCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

22STUDYXQS2324-P000222CRQ0102CRQ01-Take Care of Basic NeedsCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

23STUDYXQS2324-P000223CRQ0103CRQ01-WalkingCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

24STUDYXQS2324-P000224CRQ0104CRQ01-Performing ChoresCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

25STUDYXQS2324-P000225CRQ0105CRQ01-Participate in Social ActivitiesCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

26STUDYXQS2324-P000226CRQ0106CRQ01-Felt Frustrated or ImpatientCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

27STUDYXQS2324-P000227CRQ0107CRQ01-Feeling of Fear or PanicCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

28STUDYXQS2324-P000228CRQ0108CRQ01-FatigueCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

29STUDYXQS2324-P000229CRQ0109CRQ01-Embarrassed by CoughingCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

30STUDYXQS2324-P000230CRQ0110CRQ01-Confident to Deal With IllnessCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

31STUDYXQS2324-P000231CRQ0111CRQ01-EnergyCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

32STUDYXQS2324-P000232CRQ0112CRQ01-Feel Upset, Worried or DepressedCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

33STUDYXQS2324-P000233CRQ0113CRQ01-Control of Breathing ProblemsCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

34STUDYXQS2324-P000234CRQ0114CRQ01-Feel Relaxed and Free of TensionCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

35STUDYXQS2324-P000235CRQ0115CRQ01-Felt Low in EnergyCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

36STUDYXQS2324-P000236CRQ0116CRQ01-Felt Discouraged or DownCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

37STUDYXQS2324-P000237CRQ0117CRQ01-Felt Worn Out or SluggishCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

38STUDYXQS2324-P000238CRQ0118CRQ01-Happy, Satisfied or PleasedCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

39STUDYXQS2324-P000239CRQ0119CRQ01-Feel Upset Diff Getting BreathCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W

40STUDYXQS2324-P000240CRQ0120CRQ01-Felt Restless, Tense or UptightCRQ-SAS FIRST ADMINISTRATION VERSION


NOT DONE
1-P2W


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.

...