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  1. Include a description of scale score or other possible responses (You may need multiple numbered points for this, though the IDS-SR did not.). For scale scores use the following language: The scale points include a numeric rating (1-5) and a definition of what is represented by the rating (e.g., 1 = "deeply asleep (eyes closed, no response to changes in the environment)"). For the COMFORT-B SCALE, RSORRES is populated with the text description while the numeric rating is represented in the standardized character and numeric result variables RSSTRESC and RSSTRESN. 

  2. The RSREPNUM variable is used to indicate the same FTTESTSs are used in trial 1, 2, 3, and 4.
  3. Records are created in rs.xpt for every instrument item

    1. For items with no data, RSORRES, RSSTRESC, and RSSTRESN are all missing and RSSTAT = "NOT DONE". If the reason is known then that reason is represented in RSREASND (e.g., RSREASND = "PREFER NOT TO ANSWER"). If the reason is unknown, then RSSTAT = "NOT DONE" and RSREASND is missing.

    2. Due to the variability of copyright holder and public domain derived score generation processes, records are not included for derived subscores or total scores that are not provided.
  4. Some items on the COMFORT-B SCALE may be conditionally branched per the instrument instructions. Only Respiratory Ventilation or Crying (RSTESTCD = "CBS0103" or "CBS0104") is completed for each subject. The other will be treated as a conditionally branched item. A record is created in rs.xpt for all items. When an item is considered a conditionally branched item, it is represented as follows:

    When assigned with conditionally branched responses are not documented in the instrument’s instructions or a user manual:

    1. QNAM = “RSCBRFL”, QLABEL = “Conditional Branched Item Flag“, QVAL = “Y” (this is a RS supplemental qualifier variable related to the record).
    2. RSORRES, RSSTRESC, and RSSTRESN are set to null (missing).

    When assigned conditionally branched responses are documented in instructions or a user manual:

    1. QNAM = “QSCBRFL”, QLABEL = “Conditional Branched Item Flag“, QVAL = “Y” (this is a QS supplemental qualifier variable).
    2. The QSORRES responses are represented as follows:
      1. For severity items, QSORRES = "None".
      2. For interference items, QSORRES = "Not at all".
    3. If numeric response values are assigned, they are represented here: QSSTRESC = 0 and QSSTRESN = 0.

       or if no numeric responses are assigned: QSSTRESC = NULL and QSSTRESN = NULL.

  5. Include this point if score(s) are submitted to SDTM. Update blue text: The QRS Short_Name instrument includes a total score (and subscores or other scores as needed.  If so, change "that is" to "that are") that is considered as captured data on the instrument and is 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 [Insert copyright holder's name or other source.].

    1. Subtotal and total scores are represented in--ORRES, --STRESC, and --STRESN.
    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. It is the sponsors repsonsibility to do this verification based on the instrument's user manual or instructions from the copyright owner.
  6. Please review the decision on not including –EVAL and --EVALID in the QRS Supplement Best Practices topic “--EVAL/–EVALID not included in QRS domains/datasets”.Now we only represent administrative information if it is explicitly collected on an instrument. No assumptions are made for this data; if it's not on the instrument, it's not in the data.

    The SUPPQUAL variables used are a series of non-standard variables that represent collected administrator information, administration device, etc., and these updated SUPPQUAL variables are included in the WIKI non-standard variable registry (Non-standard Variable Registry). For example:

    1. PPRAID which is "Preprinted Administrator Identifier".
    2. COLAVL which is "Collected Administrator Value".

    The supplement version 1.0 of the FAS-NACC UDS V3.0 instrument shows an implementation example.

    The QRS Short_Name instrument collects administrative information as the preprinted examiner’s initials and the collected response. This is represented in the SUPPQUAL variable QNAM = --PPRAID” with QNAM = “Preprinted Administrator Identifier” and QVAL = “EXAMINER’S INITIALS”. The collected initials response is represented with QNAM = “--COLAID” and QNAM = “Collected Administrator Identifier” and QVAL = “ADM1”.

    This is part of the data example for the SUPPQUAL variables.

    The SUPPRS table represents the preprinted and collected administrative items represented on the CRF. 

     supprs.xpt

    STUDYID

    RDOMAIN

    USUBJID

    IDVAR

    IDVARVAL

    QNAM

    QLABEL

    QVAL

    QORIG

    STUDYX

    RS

    100-10001

    RSCAT

    FAS-NACC UDS V3.0

    RSPPRAID

    Preprinted Administrator Identifier

    EXAMINER'S INITIALS

    CRF

    STUDYX

    RS

    100-10001

    RSCAT

    FAS-NACC UDS V3.0

    RSCOLAID

    Collected Administrator Identifier

    ADM1

    CRF

  7. Include this point if there are comments at the end of the instrument. Remove this point if it does not apply.: Comments located at the end of the QRS Short_Name will be recorded in the Comments domain (CO). All assumptions and business rules described in the SDTMIG CO domain are applicable.

  8. Include this point if there are responses over 200 characters. Remove this point if it does not apply: Some responses to the QRS Short_Name items exceeded the 200-character limit for the QSORRES variable and needed to be reduced to fewer than 200 characters. Section 4, SDTM Mapping Strategy, indicates which item responses were revised in order to fit the 200-character limit.

  9. Terminology

    1. RSCAT, RSTESTCD, RSTEST , RSORRES, QSSTRESC, and QSSTRESN (and other variables such as QSORRESU as needed; only include QSORRES, QSSTRESC, and QSSTRESN if the responses are published in CT with public domains instruments) values are values are included in CDISC Controlled Terminology.

    2. A full list of value sets for the qualifier, timing, resultand unit fields is provided in Section 4, SDTM Mapping Strategy. (Note: Only the result field is always used. Include qualifier, timing, and unit fields as needed and remove this note.)

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Dataset wrap
Namers
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
RowSTUDYIDDOMAINUSUBJIDRSSEQRSTESTCDRSTESTRSCATRSORRESRSSTRESCRSSTRESNRSSTATRSREASNDRSMETHODRSLOBXFLRSREPNUMVISITNUMRSDTCRSEVLINT
1STUDYXRS2324-P00011CBS0101CBS01-AlertnessCOMFORT-B SCALElightlylightly asleep (eyes mostly closed, occasional responses)22


Y

1

12023-05-15-P7D
2STUDYXRS2324-P00012CBS0102CBS01-Calmness/AgitationCOMFORT-B SCALEslightly anxious (child shows slight anxiety)22


Y112023-05-15-P7D
3STUDYXRS2324-P00013CBS0103CBS01-Respiratory ResponseCOMFORT-B SCALEno spontaneous respiration11


Y112023-05-15-P7D
4STUDYXRS2324-P00014CBS0104CBS01-CryingCOMFORT-B SCALENone




Y112023-05-15-P7D
5STUDYXRS2324-P00015CBS0105CBS01-Physical MovementCOMFORT-B SCALEoccasional, (three or fewer) slight movements22


Y112023-05-15-P7D
6STUDYXRS2324-P00016CBS0106CBS01-Muscle ToneCOMFORT-B SCALEnormal muscle tone33


Y112023-05-15-P7D
7STUDYXRS2324-P00017CBS0107CBS01-Facial TensionCOMFORT-B SCALEnormal facial tone22


Y112023-05-15-P7D
8STUDYXRS2324-P00018CBS0108CBS01-Total ScoreCOMFORT-B SCALE121212


Y112023-05-15-P7D
9STUDYXRS2324-P00019CBS0109CBS01-NRS PainCOMFORT-B SCALE555


Y112023-05-15-P7D

10

STUDYXRS2324-P000110CBS0110CBS01-NISSCOMFORT-B SCALE222


Y112023-05-15-P7D

11


RS

11

CBS0111CBS01-Details Sedatives/AnalgesicsCOMFORT-B SCALEMidazolamMidazolam



Y112023-05-15

12


RS
12CBS0112CBS01-Reason AssessmentCOMFORT-B SCALEPost surgery follow-upPost surgery follow-up



Y112023-05-15



RS
1CBS0101CBS01-AlertnessCOMFORT-B SCALE











RS
2CBS0102CBS01-Calmness/AgitationCOMFORT-B SCALE











RS
3CBS0103CBS01-Respiratory ResponseCOMFORT-B SCALE











RS
4CBS0104CBS01-CryingCOMFORT-B SCALE











RS
5CBS0105CBS01-Physical MovementCOMFORT-B SCALE











RS
6CBS0106CBS01-Muscle ToneCOMFORT-B SCALE











RS
7CBS0107CBS01-Facial TensionCOMFORT-B SCALE











RS
8CBS0108CBS01-Total ScoreCOMFORT-B SCALE











RS
9CBS0109CBS01-NRS PainCOMFORT-B SCALE











RS
10CBS0110CBS01-NISSCOMFORT-B SCALE











RS
11CBS0111CBS01-Details Sedatives/AnalgesicsCOMFORT-B SCALE











RS
12CBS0112CBS01-Reason AssessmentCOMFORT-B SCALE









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.)






33STUDYXQS2324-P000133IDSR131IDSR1-ScoreIDS-SR181818


Y
12015-05-15

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Info

Include mappings for all sets of result values. For ease of use of this template, the complete set of response values for the example in Section 3.2 is not included.

If the instrument has been entered into QRS Maker (all instruments should be), then the complete set of response values can be copied from QRS Maker and pasted into this supplement.

Some example mappings are below.

Info

For QRS instruments with subcategories:

When subcategories are used on an instrument, a table with the following introduction information should appear before the mappings for results.

QSSCAT alignment with QSTESTCD

As stated in Section 3.1 assumptions, items on the QRS Short_Name are grouped into subcategories. The table below includes the subcategory names along with the applicable item numbers for each category. The values of the subcategories are used to populate QSSCAT and are annotated on the CRF.

QSSCATQSTESTCD
EMOTIONAL/INFORMATIONAL SUPPORTQSSS0101 - QSSS0108
TANGIBLE SUPPORTQSSS0109 - QSSS0112
AFFECTIONATE SUPPORTQSSS0113 - QSSS0115
POSITIVE SOCIAL INTERACTIONQSSS0116 - QSSS0118
ADDITIONAL ITEMQSSS0119
Info
titleFor public domain instrument's published QRS responses
  • If this is a public domain instrument that has an individual item with published QRS responses, include the following sentence above the—TESTCDs listed with their responses.

    • The controlled response terminology for the tests below is named --TESTCDOR for the variable RSORRES and --TESTCDSTR for the variables RSSTRESN and RSSTTRESC.

  • If this is a public domain instrument with published QRS responses, include the following sentence above the—TESTCDs listed with their responses.
    • The controlled response terminology for the tests below is named --TESTCDTXXXOR for the variable RSORRES and --TESTCDTXXXTSTR for the variables RSSTRESN and RSSTTRESC.
Info

If all items have the same original result values, with the same standardized character and numeric values, then only include one table showing the values of QSORRES/QSSTRESC/QSSTRESN and put "All QSTESTCDs" (title case "All", and in quotes) above the table:

"All QSTESTCDs"

QSORRESQSSTRESCQSSTRESN
Original result 100
Original result 211
Original result 322

Similarly, if some, but not all, QSTESTCDs share the same original result and standardized values, then the QSTESTCD and corresponding QSTEST values are put in a list above the table rather than providing a separate table for each QSTESTCD/QSTEST.

Info
titleFor public domain instrument's published QRS responses

If this is a public domain instrument with published QRS responses, include the following sentence above the—TESTCDs listed with their responses. This approach used the CDISC QRS CT instrument's SYNONYM as part of the codelist name.

The controlled response terminology for the tests below is named SYNONYMSET1OR for the variable RSORRES and SYNONYMSET1STR for the variables RSSTRESN and RSSTTRESC.

Info

If there are responses that correspond to non-consecutive items or 1-7 consecutive items, include the test codes and test names above the table with the responses as follows:

QSTESTCD = "test code 1" QSTEST = "test name 1"


QSTESTCD = "test code 4" QSTEST = "test name 4"


QSTESTCD = "test code 5" QSTEST = "test name 5"

QSTESTCD = "test code 6" QSTEST = "test name 6"

QSTESTCD = "test code 7" QSTEST = "test name 7"

QSTESTCD = "test code 8" QSTEST = "test name 8"

QSTESTCD = "test code 15" QSTEST = "test name 15"

QSTESTCD = "test code 22" QSTEST = "test name 22"


QSTESTCD = "test code 27" QSTEST = "test name 27"


QSTESTCD = "test code 29" QSTEST = "test name 29"

QSORRESQSSTRESCQSSTRESN
I never take longer than 30 minutes to fall asleep00
I take at least 30 minutes to fall asleep, less than half the time11
I take at least 30 minutes to fall asleep, more than half the time22
I take more than 60 minutes to fall asleep, more than half the time33

...

Info
titleFor public domain instrument's published QRS responses

If this is a public domain instrument with published QRS responses, include the following sentence above the—TESTCDs listed with their responses.

    • The controlled response terminology for the tests below is named --TESTCDTXXXOR for the variable RSORRES and --TESTCDTXXXTSTR for the variables RSSTRESN and RSSTTRESC.
Info

For responses that are for 8 or more consecutive items, an override label should be used in QRS Maker to show the items that are included as follows:

QSTESTCD = "first test code in sequence" QSTEST = "first test name in sequence" through

QSTESTCD = "last test code in sequence" QSTEST = "last test name in sequence"

QSORRESQSSTRESCQSSTRESN
I have not experienced the physical sensation of feeling weighted down and without physical energy00
I have occasionally experienced periods of feeling physically weighted down and without physical energy, but without a negative effect on work, school, or activity level11
I feel physically weighted down (without physical energy) more than half the time22
I feel physically weighted down (without physical energy) most of the time, several hours per day, several days per week33

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