CDE Detailed Report

Disease: Traumatic Brain Injury
Sub-Domain: Perceived Generic and Disease-Specific Health-Related Quality of Life
CRF: Quality of Life After Brain Injury (QOLIBRI)

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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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C53197 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Date QOLIBRIOSDate Date (and time, if applicable and known) for the start of the participant's/subject's Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment Date (and time, if applicable and known) for the start of the participant's/subject's Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment Date Date or Date & Time Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

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C53208 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Social life status QOLIBRIOSSocialLifeStat Status of participant/subject overall social life satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Status of participant/subject overall social life satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Overall, how satisfied are you with your personal and social life? Not at all;Slightly;Moderately;Quite;Very Not at all;Slightly;Moderately;Quite;Very Alphanumeric Adult;Pediatric Exploratory 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Multiple Pre-Defined Values Selected

C53198 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Start time QOLIBRIOSStartTime Time when the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment began Time when the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment bega Start Time Date or Date & Time Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

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C53209 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Current situation future prospects status QOLIBRIOSCurrSitFutrProspcStat Status of participant/subject overall satisfaction with current situation and future prospects as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Status of participant/subject overall satisfaction with current situation and future prospects as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Overall, how satisfied are you with your current situation and
future prospects?
Not at all;Slightly;Moderately;Quite;Very Not at all;Slightly;Moderately;Quite;Very Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Multiple Pre-Defined Values Selected

C53199 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Stop time QOLIBRIOSStopTime Time when the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment ended Time when the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment ende Stop Time Date or Date & Time Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

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C53212 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Total score QOLIBRIOSTotalScore Total score for participant/subject as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Total score for participant/subject as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS QoLIBRI-OS Total Score Numeric Values Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Free-Form Entry

0 100
C53200 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Total assessment time QOLIBRIOSTotAssessmntTime Participant's/subject's total time spent completing the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessment Participant's/subject's total time spent completing the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) assessmen Time Spent Numeric Values Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

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C53201 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Completion code QOLIBRIOSCompletionCode Code that describes the participant/ subject completion of the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Code that describes the participant/ subject completion of the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Completion Code Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Multiple Pre-Defined Values Selected

C53202 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Completion code other text QOLIBRIOSCompletionCodeOTH Text that describes other code as related to the participant/ subject completion of the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Text that describes other code as related to the participant/ subject completion of the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Completion Code Other Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points 255

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C53203 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Confounding Issues text QOLIBRIOSConfoundingIssuesTxt Text that describes confounding issues as related to the participant/ subject completion of the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Text that describes confounding issues as related to the participant/ subject completion of the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Confounding Issues Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points 255

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C53204 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Physical condition status QOLIBRIOSPhysicalConditionStat Status of participant/subject overall physical condition satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Status of participant/subject overall physical condition satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Overall, how satisfied are you with your physical condition? Not at all;Slightly;Moderately;Quite;Very Not at all;Slightly;Moderately;Quite;Very Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Single Pre-Defined Value Selected

C53205 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Brain function status QOLIBRIOSBrainFunctionStat Status of participant/subject overall brain function satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Status of participant/subject overall brain function satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Overall, how satisfied are you with how your brain is working, in terms of your concentration, memory, thinking? Not at all;Slightly;Moderately;Quite;Very Not at all;Slightly;Moderately;Quite;Very Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Multiple Pre-Defined Values Selected

C53195 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Assessment version name QOLIBRIOSAssessmntVersionName Name of the assessment version as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Name of the assessment version as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Assessment version name Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Single Pre-Defined Value Selected

C53206 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Emotional status QOLIBRIOSEmotionalStat Status of participant/subject overall emotional satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Status of participant/subject overall emotional satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Overall, how satisfied are you with your feelings and emotions? Not at all;Slightly;Moderately;Quite;Very Not at all;Slightly;Moderately;Quite;Very Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Multiple Pre-Defined Values Selected

C53196 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Subject identification number QOLIBRIOSSubjectIdentficatnNum Number that identifies the patient/ subject as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Number that identifies the patient/ subject as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Subject ID Numeric Values Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Free-Form Entry

C53207 Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) - Activities daily living status QOLIBRIOSADLStat Status of participant/subject overall activities of daily living satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS) Status of participant/subject overall activities of daily living satisfaction as related to the Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS Overall, how satisfied are you with your ability to carry out day to day activities? Not at all;Slightly;Moderately;Quite;Very Not at all;Slightly;Moderately;Quite;Very Alphanumeric Adult;Pediatric Supplemental 1.00 2017-02-06 15:41:10.0 Quality of Life After Brain Injury (QOLIBRI) Perceived Generic and Disease-Specific Health-Related Quality of Life Outcomes and End Points

Multiple Pre-Defined Values Selected

CSV