CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: PROMIS Item Bank v1.0 (PRO)
Sub-Domain: Additional Proposed Instruments
CRF: PROMIS Item Bank v1.0 (PRO)
20 results.
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (Question Text) | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59165 | Seven day pain interference daily activities status | SvnDayPainIntfncDlyActStatus | Status indicating the amount of times pain interfered with daily activities in the past seven days | Status indicating the amount of times pain interfered with daily activities in the past seven days | In the past 7 days how much did pain interfere with your day to day activities? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 13:56:46.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPDAYA | |||||||||||||||||||||||||||
| C59166 | Seven day pain interference home work status | SvnDayPainIntfncHmWrkStatus | Status indicating how much pain interfered with work around the home in the past seven days | Status indicating how much pain interfered with work around the home in the past seven days | In the past 7 days how much did pain interfere with work around the home? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 14:04:33.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPHOME | |||||||||||||||||||||||||||
| C59156 | EvaluationDate | EvaluationDate | Date of evaluation | Date of evaluation | Date of evaluation: | Date or Date & Time | Adult;Pediatric | Proposed | 1.00 | 2019-01-30 10:06:38.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | n/a | |||||||||||||||||||||||||||||
| C59167 | Seven day pain interference social activities participation status | SvnDyIntfncSclActPartStatus | Status indicating how much pain interfered with the ability for subject to participate in social activities in the past seven days | Status indicating how much pain interfered with the ability for subject to participate in social activities in the past seven days | In the past 7 days how much did pain interfere with your ability to participate in social activities? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 14:33:00.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPSOCI | |||||||||||||||||||||||||||
| C59157 | Seven day fatigue status | SevenDayFatigueStatus | Status indicating whether the participant felt fatigued in the past seven (7) days. | Status indicating whether the participant felt fatigued in the past seven (7) days. | During the past 7 days I feel fatigued | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-30 10:08:52.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFATIG | |||||||||||||||||||||||||||
| C59168 | Seven day pain interference household chores status | SvnDyPnIntfncHHChrStatus | Status indicating how much pain interfered with household chores over the past seven days | Status indicating how much pain interfered with household chores over the past seven days | In the past 7 days how much did pain interfere with your household chores? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 14:52:27.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPCHOR | |||||||||||||||||||||||||||
| C59158 | Difficulty starting things seven days status | DfcltyStrtngThngsSvnDaysStatus | Status indicating whether the participant has had trouble starting things in the past seven (7) days due to being tired | Status indicating whether the participant has had trouble starting things in the past seven (7) days due to being tired | During the past 7 days I have trouble starting things because I am tired | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-30 11:47:06.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFSTRT | |||||||||||||||||||||||||||
| C59169 | Seven day pain interference fun activities status | SvnDyPainIntfncFunActStatus | Status indicating how much pain interfered with fun activities over the past seven days | Status indicating how much pain interfered with fun activities over the past seven days | In the past 7 days how much did pain interfere with the things you usually do for fun? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 14:56:32.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPFUN | |||||||||||||||||||||||||||
| C59159 | Seven day run down feeling status | SvnDayRunDwnFeelStatus | Status indicating whether subject or participant has felt run-down during the past seven (7) days. | Status indicating whether subject or participant has felt run-down during the past seven (7) days. | In the past 7 days how run-down did you feel on average? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-30 16:31:01.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFRNDN | |||||||||||||||||||||||||||
| C59170 | Seven day pain interference social activity enjoyment status | SvnDyPnIntfncSclActEnjmtStatus | Status indicating how much pain interfered with enjoyment of social activities in the past seven days | Status indicating how much pain interfered with enjoyment of social activities in the past seven days | In the past 7 days how much did pain interfere with your enjoyment of social activities? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 15:01:27.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPJOYS | |||||||||||||||||||||||||||
| C59160 | Average seven day fatigue status | AvgSvnDayFatigueStatus | Status indicating on average how fatigued the subject/participant felt in the past seven (7) days | Status indicating on average how fatigued the subject/participant felt in the past seven (7) days | In the past 7 days how fatigued were you on average? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-30 16:55:00.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFAVG | |||||||||||||||||||||||||||
| C59171 | Seven day pain interference life enjoyment status | SvnDyPnIntfncLifEnjmntStatus | Status indicating how much pain interfered with life enjoyment in the past seven days | Status indicating how much pain interfered with life enjoyment in the past seven days | In the past 7 days how much did pain interfere with your enjoyment of life? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 15:03:37.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPJOYL | |||||||||||||||||||||||||||
| C59161 | Bothersome fatigue seven day average status | BthrsmFatSvnDayAvgStatus | Status indicating how much fatigue bothered subject/participant over the past seven days | Status indicating how much fatigue bothered subject/participant over the past seven days | In the past 7 days how much were you bothered by your fatigue on average? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-30 17:01:41.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFBOTR | |||||||||||||||||||||||||||
| C59172 | Seven day pain interference family life status | SvnDyPnIntfncFamLifeStatus | Status indicating how much pain interfered with family life over the last seven days | Status indicating how much pain interfered with family life over the last seven days | In the past 7 days how much did pain interfere with your family life? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 16:16:43.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPFAMI | |||||||||||||||||||||||||||
| C59162 | Seven day fatigue physical functioning interference status | SvnDayFatPhysFuncIntStatus | Status indicating the degree of interference fatigue had on the subject/participant's physical functioning during the past seven days | Status indicating the degree of interference fatigue had on the subject/participant's physical functioning during the past seven days | In the past 7 days to what degree did your fatigue interfere with your physical functioning? | Not at all;A little bit;Somewhat;quite a bit;very much | Not at all;A little bit;Somewhat;quite a bit;very much | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 11:03:29.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFINTP | |||||||||||||||||||||||||||
| C59173 | Seven day worst pain intensity status | SvnDyWrstPnIntstyStatus | Status indicating how intense pain was at its worse during the past seven days | Status indicating how intense pain was at its worse during the past seven days | In the past 7 days how intense was your pain at its worst? | Had no pain;Mild;Moderate;Severe;Very severe | Had no pain;Mild;Moderate;Severe;Very severe | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 16:21:32.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPIWRT | |||||||||||||||||||||||||||
| C59163 | Seven day fatigue push frequency status | SvnDayFtgPshFreqStatus | Status indicating the frequency in which fatigue required subject/participant to push themselves to get things done in the past seven days. | Status indicating the frequency in which fatigue required subject/participant to push themselves to get things done in the past seven days. | In the past 7 days how often did you have to push yourself to get things done because of your fatigue? | Never;Rarely;Sometimes;Often;Always | Never;Rarely;Sometimes;Often;Always | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 12:03:05.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFPUSH | |||||||||||||||||||||||||||
| C59174 | Seven day average pain intensity status | SvnDyAvgPnIntstyStatus | Status indicating the average pain intensity over the past seven days | Status indicating the average pain intensity over the past seven days | In the past 7 days how intense was your average pain? | Had no pain;Mild;Moderate;Severe;Very severe | Had no pain;Mild;Moderate;Severe;Very severe | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 16:26:29.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPIAVG | |||||||||||||||||||||||||||
| C59164 | Seven day fatigue finishing difficulty frequency status | SvnDayFtgFnshDfctyFrqStatus | Status indicating the frequency in which the subject/participant experienced difficulty finishing things due to fatigue | Status indicating the frequency in which the subject/participant experienced difficulty finishing things due to fatigue | In the past 7 days how often did you have trouble finishing things because of your fatigue? | Never;Rarely;Sometimes;Often;Always | Never;Rarely;Sometimes;Often;Always | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 12:24:01.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROFFINH | |||||||||||||||||||||||||||
| C59175 | Current pain level code | CurrentPainLvlCode | Code indicating the current level of pain | Code indicating the current level of pain | What is your level of pain right now? | No pain;Mild;Moderate;Severe;Very severe | No pain;Mild;Moderate;Severe;Very severe | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-31 16:28:24.0 | PROMIS Item Bank v1.0 (PRO) | Additional Proposed Instruments | PROMIS |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | PROMIS Item Bank v1.0 (PRO) | PROPINOW |
20 results.