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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.
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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. |
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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"
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. 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. | ||||||||||||
QSSCAT | QSTESTCD | |||||||||||
EMOTIONAL/INFORMATIONAL SUPPORT | QSSS0101 - QSSS0108 | |||||||||||
TANGIBLE SUPPORT | QSSS0109 - QSSS0112 | |||||||||||
AFFECTIONATE SUPPORT | QSSS0113 - QSSS0115 | |||||||||||
POSITIVE SOCIAL INTERACTION | QSSS0116 - QSSS0118 | ADDITIONAL ITEM | QSSS0119
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If this is a public domain instrument that has an individual item with publishedwith 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 --TESTCDORSYNONYMSET1OR for the variable RSORRES and --TESTCDSTRSYNONYMSET1STR for the variables RSSTRESN and RSSTTRESC. |
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If this is a public domain instrument with published QRS responses, include the following sentence above the—TESTCDs listed with their responses.
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QSORRES | QSSTRESC | QSSTRESN |
Original result 1 | 0 | 0 |
Original result 2 | 1 | 1 |
Original result 3 | 2 | 2 |
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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. |
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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"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 271" QSTEST = "test name 271" QSTESTCD = "test code 294" QSTEST = "test name 29" | ||||||||||||||
QSORRES | QSSTRESC | QSSTRESN | ||||||||||||
I never take longer than 30 minutes to fall asleep | 0 | 0 | ||||||||||||
I take at least 30 minutes to fall asleep, less than half the time | 1 | 1 | ||||||||||||
I take at least 30 minutes to fall asleep, more than half the time | 2 | 2 | ||||||||||||
I take more than 60 minutes to fall asleep, more than half the time | 3 | 3 | ||||||||||||
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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"Omit the QSSTRESN column when it is not applicable to the dataset. QSTESTCD = "test code 29" QSTEST = "test name 29"
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If this is a public domain instrument with published QRS responses, include the following sentence above the—TESTCDs listed with their responses.
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