CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: Questionnaire for Verifying Stroke-Free Status (QVSFS)
Sub-Domain: Outcomes and End Points
CRF: Questionnaire for Verifying Stroke-Free Status (QVSFS)
9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C13192 | Questionnaire for Verifying Stroke Free Status (QVSFS) - stroke status | QVSFSStrokeStatus | Were you ever told by a physician that you had a stroke? | Were you ever told by a physician that you had a stroke? Questionnaire for Verifying Stroke Free Status (QVSFS) - numbness status | Were you ever told by a physician that you had a stroke | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13193 | Questionnaire for Verifying Stroke Free Status (QVSFS) - TIA status | QVSFSTIAStatus | Were you ever told by a physician that you had a TIA, ministroke, or transient ischemic attack? | Were you ever told by a physician that you had a TIA, ministroke, or transient ischemic attack? Questionnaire for Verifying Stroke Free Status (QVSFS) | Were you ever told by a physician that you had a TIA, ministroke, or transient ischemic attack | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
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| C13194 | Questionnaire for Verifying Stroke Free Status (QVSFS) - painless weakness status | QVSFSPainlsWeaknsStatus | Have you ever had sudden painless weakness on one side of your body? | Have you ever had sudden painless weakness on one side of your body? Questionnaire for Verifying Stroke Free Status (QVSFS) | Have you ever had sudden painless weakness on one side of your body | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13195 | Questionnaire for Verifying Stroke Free Status (QVSFS) - numbness status | QVSFSNumbStatus | Have you ever had sudden numbness or a dead feeling on one side of your body? | Have you ever had sudden numbness or a dead feeling on one side of your body? Questionnaire for Verifying Stroke Free Status (QVSFS) | Have you ever had sudden numbess or a dead feeling on one side of your body | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13196 | Questionnaire for Verifying Stroke Free Status (QVSFS) - painless vision loss status | QVSFSPainlsVisnLossStatus | Have you ever had sudden painless loss of vision in one or both eyes? | Have you ever had sudden painless loss of vision in one or both eyes? Questionnaire for Verifying Stroke Free Status (QVSFS) | Have you ever had sudden painless loss of vision in one or both eyes | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13197 | Questionnaire for Verifying Stroke Free Status (QVSFS) - sudden vision loss status | QVSFSSussVisnLossStatus | Have you ever suddenly lost one half of your vision? | Have you ever suddenly lost one half of your vision? Questionnaire for Verifying Stroke Free Status (QVSFS) - numbness status | Have you ever suddenly lost one half of your vision | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13198 | Questionnaire for Verifying Stroke Free Status (QVSFS) - understanding status | QVSFSUndstandStatus | Have you ever suddenly lost the ability to understand what people were saying? | Have you ever suddenly lost the ability to understand what people were saying? Questionnaire for Verifying Stroke Free Status (QVSFS) | Have you ever suddenly lost the ability to understand what people were saying | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13199 | Questionnaire for Verifying Stroke Free Status (QVSFS) - verbal status | QVSFSVerbalStatus | Have you ever suddenly lost the ability to express yourself verbally or in writing? | Have you ever suddenly lost the ability to express yourself verbally or in writing? Questionnaire for Verifying Stroke Free Status (QVSFS) | Have you ever suddenly lost the ability to express yourself verbally or in writing | No;Yes | No;Yes | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
DeBaun Forms | ||||||||||||||||||||||||||||
| C13200 | Questionnaire for Verifying Stroke Free Status (QVSFS) - stroke result | QuestVerStrFrStatStrRes | Whether patient is stroke free (all QVSFS items negative) or not stroke free (at least 1 QVSFS item positive) | Whether patient is stroke free (all QVSFS items negative) or not stroke free (at least 1 QVSFS item positive), as part of Questionnaire for Verifying Stroke Free Status (QVSFS). | Result | Stroke free;Not stroke free | Stroke free;Not stroke free | Alphanumeric |
Choose one |
Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, & O'Brien PC. (2004). Reliability of the Questionnaire for Verifying Stroke-Free Status. Cerebrovasc Dis, 17, 218-223. (DOI: 10.1159/000075794); Meschia JF, Brott TG, & Chukwudelunzu FE, et al.(2002). Verifying the stroke-free phenotype by structured telephone interview. Stroke, 31, 1076-1080; Jones WJ, Williams LS, & Meschia JF. (2001). Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination. Stroke, 32, 2232 - 2236 | Adult | Supplemental | 3.00 | 2013-06-21 00:00:00.0 | Questionnaire for Verifying Stroke-Free Status (QVSFS) | Outcomes and End Points | Clinical Event End Points |
Single Pre-Defined Value Selected |
9 results.