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Title

European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 (EORTC QLQ-C15-PAL V1.0)

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

EORTC QLQ-C15-PAL V1.0

QRS Permission StatusApproved
TeamProstate Cancer Standards Team and CDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusDRAFT
Date20212022-0910-2111
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.This instrument is a US FDA Qualified Clinical Outcome Assessment (COA) instrument. 


Revision History

DateVersion
20212022-0910-21111.0 Draft

© 2021 2022 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

1 Introduction

This document describes the CDISC implementation of the European Organisation for the Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Palliative Care Version 1.0 (EORTC QLQ-C15-PAL V1.0) instrument.

CDISC does did not modify this questionnaires, ratings, and scales (QRS) instruments instrument to meet Clinical Data Acquisition Standards Harmonization (CDASH) case report form (CRF) standards.

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The CDISC Intellectual Property Policy can be found on the CDISC web site at: https://www.cdisc.org/about/bylaws.

1.1 Representations and Warranties, Limitations of Liability, and Disclaimers

This document is a supplement to the SDTMIG for Human Clinical Trials and is covered under Appendix F of that document, which describes representations, warranties, limitations of liability, and disclaimers. Please see Appendix F of the SDTMIG for a complete version of this material.

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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

EORTC owns the copyright for the EORTC QLQ-C15-PAL V1.0 instrument and has granted CDISC permission to include this supplement in the CDISC library of QRS data standards supplements. EORTC will distribute the CDISC supplement package to sponsors when they are approved to use this instrument. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the instrument.

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Copyright 1995 and 2005 EORTC Quality of Life Group. All rights reserved. Version 1.0.

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 EORTC QLQ-C15-PAL V1.0 are listed below.

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  1. The scale points include a 4-point Likert scale (1-4) and a 7-point numeric rating (1-7), with a definition of what is represented by the rating (e.g., 1 = "Not at all"). For the EORTC QLQ-C15-PAL V1.0, QSORRES is populated with the text description while the numeric rating is represented in the standardized character and numeric result variables QSSTRESC and QSSTRESN.

  2.  The time period of evaluation for the EORTC QLQ-C15-PAL V1.0 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 EORTC QLQ-C15-PAL V1.0 is the past week for QSTESTCD="EOR0204" thru "EOR0215".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.

3.2 Example for the EORTC QLQ-C15-PAL V1.0 QS Domain Model

The EORTC QLQ-C15-PAL V1.0 example below shows the terminology used to implement the instrument in the QS domain. This example shows the data for 1 subject collected at the baseline and the second visit for a EORTC QLQ-C15-PAL V1.0 instrument. The example uses CDISC Controlled Terminology for QSTESTCD, QSTEST, and QSCAT. All original results are represented with preferred terminology in QSORRES. This result is then transformed into the standard numeric score in QSSTRESN and a character representation of the standard numeric score in QSSTRESC.

Info

We are unable to make the example consistently show blue in the Wiki. All examples are updated for each QRS instrument so we ask that you please review the example below.

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Nameqs

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  1. QSTESTCD = "EOR0215" item is represented as a Numeric Rating Scale 7-Point item. Visual analog or numeric rating scales used within a questionnaire with a range of text and numeric values are indicated in the SUPPQS domain with:

    QNAM=QSANTXLO      QNAM=QSANTXHI

    QNAM=QSANVLLO     QNAM=QSANVLHI

    By storing this information in SUPPQS, it is available for interpretation purposes.  The SDS QS Team is researching alternative methods to handle this data in the future, but until a new method is identified, this will be the recommended approach.

    1. The low and high anchor text is stored in QSORRES with the numeric values stored in QSSTRESC and QSSTRESN.  All other numeric values are stored in QSORRES, QSSTRESC and QSSTRESN.
  2. 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.

3.2 Example for the EORTC QLQ-C15-PAL V1.0 QS Domain Model

The EORTC QLQ-C15-PAL V1.0 example below shows the terminology used to implement the instrument in the QS domain. This example shows the data for 1 subject collected at the baseline and the second visit for a EORTC QLQ-C15-PAL V1.0 instrument. The example uses CDISC Controlled Terminology for QSTESTCD, QSTEST, and QSCAT. All original results, matching the CRF item response text, are represented in QSORRES.This result is then represented as a standard numeric score in QSSTRESN and as a standard character representation in QSSTRESC.

Info

We are unable to make the example consistently show blue in the Wiki. All examples are updated for each QRS instrument so we ask that you please review the example below.


The table represents the items from the EORTC QLQ-C15-PAL V1.0 instrument. Rows 16-30 show the subject was not evaluated on this instrument at visit 2. Since the visit was missed, the reason for not completing the visit was not collected, no date is assumed for when the visit would have occurred.

Dataset wrap
Nameqs
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSMETHODQSLOBXFLVISITNUMQSDTCQSEVLINT
1Not at All11Y12015-11-12STUDYXQS2324-P00012EOR0202EOR02-Stay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0A Little22Y12015-11-13STUDYXQS2324-P000131EOR0203EOR0201EOR02-Need Help Eating/Dressing/WashingTrouble Taking Short Walk OutsideEORTC QLQ-C15-PAL V1.0Quite a Bit3Not at All113

Y12015-11-1
42STUDYXQS2324-P000142EOR0204EOR0202EOR02-Were You Short of BreathStay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0Very MuchA Little4242

Y12015-11-1-P1W
35STUDYXQS2324-P000153EOR0205EOR0203EOR02-Have You Had PainNeed Help Eating/Dressing/WashingEORTC QLQ-C15-PAL V1.0Not at All1Quite a Bit331

Y12015-11-1-P1W
64STUDYXQS2324-P000164EOR0206EOR0204EOR02-Have You Had Trouble SleepingWere You Short of BreathEORTC QLQ-C15-PAL V1.0A LittleVery Much2424

Y12015-11-1-P1W
75STUDYXQS2324-P000175EOR0207EOR0205EOR02-Have You Felt WeakHad PainEORTC QLQ-C15-PAL V1.0Quite a Bit3Not at All113

Y12015-11-1-P1W
86STUDYXQS2324-P000186EOR0208EOR0206EOR02-Have You Lacked AppetiteHad Trouble SleepingEORTC QLQ-C15-PAL V1.0Very MuchA Little4242

Y12015-11-1-P1W
97STUDYXQS2324-P000197EOR0209EOR0207EOR02-Have You Felt NauseatedWeakEORTC QLQ-C15-PAL V1.0Not at All1Quite a Bit331

Y12015-11-1-P1W
108STUDYXQS2324-P0001108EOR0210EOR0208EOR02-Have You Been ConstipatedLacked AppetiteEORTC QLQ-C15-PAL V1.0A LittleVery Much2424

Y12015-11-1-P1W
119STUDYXQS2324-P0001119EOR0211EOR0209EOR02-Were Have You TiredFelt NauseatedEORTC QLQ-C15-PAL V1.0Quite a Bit3Not at All113

Y12015-11-1-P1W
1210STUDYXQS2324-P00011210EOR0212EOR0210EOR02-Pain Interfere Daily ActivitiesHave You Been ConstipatedEORTC QLQ-C15-PAL V1.0Very MuchA Little4242

Y12015-11-1-P1W
1311STUDYXQS2324-P00011311EOR0213EOR0211EOR02-Did Were You Feel TenseTiredEORTC QLQ-C15-PAL V1.0Not at All1Quite a Bit331

Y12015-11-1-P1W
1412STUDYXQS2324-P00011412EOR0214EOR0212EOR02-Did You Feel DepressedPain Interfere Daily ActivitiesEORTC QLQ-C15-PAL V1.0A LittleVery Much2424

Y12015-11-1-P1W
1513STUDYXQS2324-P00011513EOR0215EOR0213EOR02-Rate Your Overall Quality of LifeDid You Feel TenseEORTC QLQ-C15-PAL V1.0ExcellentNot at All7171

Y12015-11-1-P1W
1614STUDYXQS2324-P00011614EOR0201EOR0214EOR02-Trouble Taking Short Walk OutsideDid You Feel DepressedEORTC QLQ-C15-PAL V1.0A Little2NOT DONE2

Y12015-11-1-8P1W
1715STUDYXQS2324-P00011715EOR0202EOR0215EOR02-Stay in Bed/Chair During the DayRate Your Overall Quality of LifeEORTC QLQ-C15-PAL V1.0NOT DONEExcellent77
NUMERICAL RATING SCALE 7-POINTY122015-11-1-8P1W
1816STUDYXQS2324-P00011816EOR0203EOR0201EOR02-Need Help Eating/Dressing/WashingTrouble Taking Short Walk OutsideEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8

1917STUDYXQS2324-P00011917EOR0204EOR0202EOR02-Were You Short of BreathStay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2018STUDYXQS2324-P00012018EOR0205EOR0203EOR02-Have You Had PainNeed Help Eating/Dressing/WashingEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2119STUDYXQS2324-P00012119EOR0206EOR0204EOR02-Have You Had Trouble SleepingWere You Short of BreathEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2220STUDYXQS2324-P00012220EOR0207EOR0205EOR02-Have You Felt WeakHad PainEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2321STUDYXQS2324-P00012321EOR0208EOR0206EOR02-Have You Lacked AppetiteHad Trouble SleepingEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2422STUDYXQS2324-P00012422EOR0209EOR0207EOR02-Have You Felt NauseatedWeakEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2523STUDYXQS2324-P00012523EOR0210EOR0208EOR02-Have You Been ConstipatedLacked AppetiteEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2624STUDYXQS2324-P00012624EOR0211EOR0209EOR02-Were Have You TiredFelt NauseatedEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2725STUDYXQS2324-P00012725EOR0212EOR0210EOR02-Pain Interfere Daily ActivitiesHave You Been ConstipatedEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2826STUDYXQS2324-P00012826EOR0213EOR0211EOR02-Did Were You Feel TenseTiredEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

2927STUDYXQS2324-P00012927EOR0214EOR0212EOR02-Did You Feel DepressedPain Interfere Daily ActivitiesEORTC QLQ-C15-PAL V1.0


NOT DONE

2

28STUDYXQS2324-P000128EOR0213EOR02-Did You Feel TenseEORTC QLQ-C15-PAL V1.0


NOT DONE

2

292015-11-8-P1W30STUDYXQS2324-P00013029EOR0215EOR0214EOR02-Rate Your Overall Quality of LifeDid You Feel DepressedEORTC QLQ-C15-PAL V1.0


NOT DONE

22015-11-8-P1W

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.

QSTESTCD ="EOR0201" QSTEST = "EOR02-Trouble Taking Short Walk Outside" through

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30STUDYXQS2324-P000130EOR0215EOR02-Rate Your Overall Quality of LifeEORTC QLQ-C15-PAL V1.0


NOT DONENUMERICAL RATING SCALE 7-POINT
2

The anchor text and numeric values for data collection needs to be populated in SUPPQS as follows. The standard terminology for QNAM and QLABEL are listed below.

Dataset wrap
Namesuppqs
Dataset2
tableidsuppqs.ept
STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
STUDYXQS2324-P0001QSTESTCDEOR0215QSANTXLOAnchor Text LowVERY POORCRF
STUDYXQS2324-P0001QSTESTCDEOR0215QSANTXHIAnchor Text HighEXCELLENTCRF
STUDYXQS2324-P0001QSTESTCDEOR0215QSANVLLOAnchor Value Low1CRF
STUDYXQS2324-P0001QSTESTCDEOR0215QSANVLHIAnchor Value High7CRF


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.

QSTESTCD ="EOR0201" QSTEST = "EOR02-Trouble Taking Short Walk Outside" through

QSTESTCD = "EOR0214" QSTEST = "EOR02-Did You Feel Depressed"

QSORRESQSSTRESCQSSTRESN
Not at All11
A Little22
Quite a Bit33
Very Much44


QSTESTCD = "EOR0215" QSTEST = "EOR02-Rate Your Overall Quality of Life"

QSORRESQSSTRESCQSSTRESN
Not at AllVery poor11
A Little222
3Quite a Bit333
Very Much44

QSTESTCD = "EOR0215" QSTEST = "EOR02-Rate Your Overall Quality of Life"

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444
555
666
Excellent77


5 Supplemental Qualifier Name Codes

The following table contains additional standard name codes for use in the Supplement Qualifiers for Questionnaires (SUPPQS) special purpose dataset.

Dataset wrap
Namesuppqs
QNAMQLABELQVAL
QSANTXLOAnchor Text Low

VERY POOR

QSANTXHI

Anchor Text High

EXCELLENT

QSANVLLO

Anchor Value Low

1

QSANVLHI

Anchor Value High

...

7

End of Document