CDE Detailed Report

Disease: content
Subdomain Name: Quality of Life%2FPatient Reported Outcomes
CRF: welcome

Displaying 1 - 14 of 14
CDE ID CDE Name Variable Name Definition Short Description 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 / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C58729 Occupation secondary prior event other status text OccupatSecndryPriorEvntStatTxt The free-text field to capture other status indicating the participant's/subject's secondary occupational status prior to the event The free-text field to capture other status indicating the participant's/subject's secondary occupational status prior to the even Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 10:44:26.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points 255

Free-Form Entry

C58730 Occupation paid after event code OccupatPaidAfterEvntCode Code corresponding to type of paid occupation after the event as defined by the International Labor Organization/International Standard Classification of Occupations (ILO/ISCO) Code corresponding to type of paid occupation after the event as defined by the International Labor Organization/International Standard Classification of Occupations (ILO/ISCO) Type of paid occupation after stroke Numeric Values

Four-digit code as defined by the ILO/ISCO

http://www.ilo.org/public/english/bureau/stat/isco/isco08/ Adult;Pediatric Supplemental 1.00 2020-05-08 10:46:50.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Free-Form Entry

C58731 Occupation primary after event status OccupatPrmryAfterEvntStat The status indicating the participant's/subject's primary occupational status after the event The status indicating the participant's/subject's primary occupational status after the even Primary occupation after stroke Homemaker;Other, specify;Paid work;Retired;Retired;Student;Unemployed;Unknown;Unpaid work Homemaker;Other, specify;Paid work (employed/self-employed, including military);Retired (disability pension);Retired (non-disability);Student (including on the job training);Unemployed (none of the above);Unknown;Unpaid work (volunteer) Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 10:48:59.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54923 Workload before event rate WorkloadBeforeEvntRt Rate in hours per week of the subject/participant's workload prior to the event Rate in hours per week of the subject/participant's workload prior to the even Workload prior to stroke Numeric Values

Hours/week

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 12:13:31.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Free-Form Entry

0 168 Hours per week
C58732 Occupation primary after event other status text OccupatPrmryAfterEvntStatTxt The free-text field to capture other status indicating the participant's/subject's primary occupational status after the event The free-text field to capture other status indicating the participant's/subject's primary occupational status after the even Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 10:50:33.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points 255

Free-Form Entry

C54924 Work responsibility level previous resume indicator WrkRspnsbltyLvlPrvsRsmInd Indicator of whether the subject/participant has resumed their previous level of responsibility at work Indicator of whether the subject/participant has resumed their previous level of responsibility at work Returned to prior level of responsibilities at work Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 12:16:49.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C58733 Occupation secondary after event status OccupatSecndryAfterEvntStat The status indicating the participant's/subject's secondary occupational status after the event The status indicating the participant's/subject's secondary occupational status after the even Secondary occupation after stroke N/A;Other, specify;Homemaker;Paid work;Retired;Retired;Student;Unemployed;Unknown;Unpaid work N/A;Other, specify;Homemaker;Paid work (employed/self-employed, including military);Retired (disability pension);Retired (non-disability);Student (including on the job training);Unemployed (none of the above);Unknown;Unpaid work (volunteer) Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 10:53:31.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Multiple Pre-Defined Values Selected

C54925 Work responsibility level previous not resume reason WrkRspnsbltyLvlPrvsNoRsmRsn Reason that the subject/participant has not resumed their previous level of responsibility at work Reason that the subject/participant has not resumed their previous level of responsibility at work If no, explain why Unemployed;Unknown;Reduced level of responsibilities Unemployed;Unknown;Reduced level of responsibilities Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 12:16:49.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C58734 Occupation secondary after event other status text OccupatSecndryAfterEvntStatTxt The free-text field to capture other status indicating the participant's/subject's secondary occupational status after the event The free-text field to capture other status indicating the participant's/subject's secondary occupational status after the even Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 10:54:42.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points 255

Free-Form Entry

C54926 Workload after event rate WorkloadAfterEvntRt Rate in hours per week of the subject/participant's workload subsequent to the event Rate in hours per week of the subject/participant's workload subsequent to the even Workload after stroke Numeric Values

Hours/week

No references available Adult;Pediatric Supplemental 1.00 2017-04-13 12:13:31.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Free-Form Entry

0 168 Hours per week
C58725 Occupation paid prior event code OccupatPaidPriorEvntCode Code corresponding to type of paid occupation prior to the event as defined by the International Labor Organization/International Standard Classification of Occupations (ILO/ISCO) Code corresponding to type of paid occupation prior to the event as defined by the International Labor Organization/International Standard Classification of Occupations (ILO/ISCO) Type of occupation prior to stroke Numeric Values

Four-digit code as defined by the ILO/ISCO

http://www.ilo.org/public/english/bureau/stat/isco/isco08/ Adult;Pediatric Supplemental 1.00 2020-05-08 09:44:38.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Free-Form Entry

C58726 Occupation primary prior event status OccupatPrmryPriorEvntStat The status indicating the participant's/subject's primary occupational status prior to the event The status indicating the participant's/subject's primary occupational status prior to the even Primary occupation prior to stroke Homemaker;Other, specify;Paid work;Retired;Retired;Student;Unemployed;Unknown;Unpaid work Homemaker;Other, specify;Paid work (employed/self-employed, including military);Retired (disability pension);Retired (non-disability);Student (including on the job training);Unemployed (none of the above);Unknown;Unpaid work (volunteer) Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 09:47:31.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C58727 Occupation primary prior event other status text OccupatPrmryPriorEvntStatTxt The free-text field to capture other status indicating the participant's/subject's primary occupational status prior to the event The free-text field to capture other status indicating the participant's/subject's primary occupational status prior to the even Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 09:50:34.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points 255

Free-Form Entry

C58728 Occupation secondary prior event status OccupatSecndryPriorEvntStat The status indicating the participant's/subject's secondary occupational status prior to the event The status indicating the participant's/subject's secondary occupational status prior to the even Secondary occupation prior to stroke N/A;Other, specify;Homemaker;Paid work;Retired;Retired;Student;Unemployed;Unknown;Unpaid work N/A;Other, specify;Homemaker;Paid work (employed/self-employed, including military);Retired (disability pension);Retired (non-disability);Student (including on the job training);Unemployed (none of the above);Unknown;Unpaid work (volunteer) Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 1.00 2020-05-08 10:35:24.0 Return to Work Quality of Life%2FPatient Reported Outcomes Outcomes and End Points

Multiple Pre-Defined Values Selected

CSV