crfgen - JSON CRF Library

Forms in QS (7)

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{
  "form": {
    "formoid": "eq5d3l",
    "title": "EQ-5D-3L",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:45:57+00:00",
    "updated_at": "2026-02-22T11:45:57+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "eq5d3l.DT_RAW",
      "fieldordinal": 1,
      "question": "Date Collected",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSDTC",
          "notes": "QS.QSDTC"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.STAT",
      "fieldordinal": 2,
      "question": "Perfomed",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSSTAT",
          "notes": "QS.QSSTAT"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.REASND",
      "fieldordinal": 3,
      "question": "Reason if not performed",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSREASND",
          "notes": "QS.QSREASND"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.EQ5D01",
      "fieldordinal": 4,
      "question": "Mobility",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no problems in walking about",
            "label": "I have no problems in walking about"
          },
          {
            "value": "I have some problems in walking about",
            "label": "I have some problems in walking about"
          },
          {
            "value": "I am confined to bed",
            "label": "I am confined to bed"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D101\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D101\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.EQ5D02",
      "fieldordinal": 5,
      "question": "Self-care",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no problems with self-care",
            "label": "I have no problems with self-care"
          },
          {
            "value": "I have some problems washing or dressing myself",
            "label": "I have some problems washing or dressing myself"
          },
          {
            "value": "I am unable to wash or dress myself",
            "label": "I am unable to wash or dress myself"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D102\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D102\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.EQ5D03",
      "fieldordinal": 6,
      "question": "Usual activities",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no problems with performing my usual activities",
            "label": "I have no problems with performing my usual activities"
          },
          {
            "value": "I have some problems with performing my usual activities",
            "label": "I have some problems with performing my usual activities"
          },
          {
            "value": "I am unable to perform my usual activities",
            "label": "I am unable to perform my usual activities"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D103\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D103\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.EQ5D04",
      "fieldordinal": 7,
      "question": "Pain/Discomfort",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no pain or discomfort",
            "label": "I have no pain or discomfort"
          },
          {
            "value": "I have moderate pain or discomfort",
            "label": "I have moderate pain or discomfort"
          },
          {
            "value": "I have extreme pain or discomfort",
            "label": "I have extreme pain or discomfort"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D104\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D104\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.EQ5D05",
      "fieldordinal": 8,
      "question": "Anxiety/Depression",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I am not anxious or depressed",
            "label": "I am not anxious or depressed"
          },
          {
            "value": "I am moderately anxious or depressed",
            "label": "I am moderately anxious or depressed"
          },
          {
            "value": "I am extremely anxious or depressed",
            "label": "I am extremely anxious or depressed"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D105\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D105\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d3l.EQ5D06",
      "fieldordinal": 9,
      "question": "Health state Visual Analog Score",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D106\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D106\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: EQ-5D-3L

Show domain info

Primary Domain

All Domains

#	Question	Response
1	Date Collected eq5d3l.DT_RAW	QS.QSDTC
2	Perfomed eq5d3l.STAT	Yes No QS.QSSTAT
3	Reason if not performed eq5d3l.REASND	QS.QSREASND
4	Mobility eq5d3l.EQ5D01	I have no problems in walking about I have some problems in walking about I am confined to bed QS.QSORRES when QS.QSTESTCD="EQ5D101"
5	Self-care eq5d3l.EQ5D02	I have no problems with self-care I have some problems washing or dressing myself I am unable to wash or dress myself QS.QSORRES when QS.QSTESTCD="EQ5D102"
6	Usual activities eq5d3l.EQ5D03	I have no problems with performing my usual activities I have some problems with performing my usual activities I am unable to perform my usual activities QS.QSORRES when QS.QSTESTCD="EQ5D103"
7	Pain/Discomfort eq5d3l.EQ5D04	I have no pain or discomfort I have moderate pain or discomfort I have extreme pain or discomfort QS.QSORRES when QS.QSTESTCD="EQ5D104"
8	Anxiety/Depression eq5d3l.EQ5D05	I am not anxious or depressed I am moderately anxious or depressed I am extremely anxious or depressed QS.QSORRES when QS.QSTESTCD="EQ5D105"
9	Health state Visual Analog Score eq5d3l.EQ5D06	QS.QSORRES when QS.QSTESTCD="EQ5D106"

{
  "form": {
    "formoid": "eq5d5l",
    "title": "EQ-5D-5L",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:45:57+00:00",
    "updated_at": "2026-02-22T11:45:57+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "eq5d5l.DT_RAW",
      "fieldordinal": 1,
      "question": "Date Collected",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSDTC",
          "notes": "QS.QSDTC"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.STAT",
      "fieldordinal": 2,
      "question": "Perfomed",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSSTAT",
          "notes": "QS.QSSTAT"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.REASND",
      "fieldordinal": 3,
      "question": "Reason if not performed",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSREASND",
          "notes": "QS.QSREASND"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.EQ5D01",
      "fieldordinal": 4,
      "question": "Mobility",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no problems walking",
            "label": "I have no problems walking"
          },
          {
            "value": "I have slight problems walking",
            "label": "I have slight problems walking"
          },
          {
            "value": "I have moderate problems walking",
            "label": "I have moderate problems walking"
          },
          {
            "value": "I have severe problems walking",
            "label": "I have severe problems walking"
          },
          {
            "value": "I am unable to walk",
            "label": "I am unable to walk"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D201\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D201\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.EQ5D02",
      "fieldordinal": 5,
      "question": "Self-care",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no problems washing or dressing myself",
            "label": "I have no problems washing or dressing myself"
          },
          {
            "value": "I have slight problems washing or dressing myself",
            "label": "I have slight problems washing or dressing myself"
          },
          {
            "value": "I have moderate problems washing or dressing myself",
            "label": "I have moderate problems washing or dressing myself"
          },
          {
            "value": "I have severe problems washing or dressing myself",
            "label": "I have severe problems washing or dressing myself"
          },
          {
            "value": "I am unable to wash or dress myself",
            "label": "I am unable to wash or dress myself"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D202\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D202\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.EQ5D03",
      "fieldordinal": 6,
      "question": "Usual activities",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no problems doing my usual activities",
            "label": "I have no problems doing my usual activities"
          },
          {
            "value": "I have slight problems doing my usual activities",
            "label": "I have slight problems doing my usual activities"
          },
          {
            "value": "I have moderate problems doing my usual activities",
            "label": "I have moderate problems doing my usual activities"
          },
          {
            "value": "I have severe problems doing my usual activities",
            "label": "I have severe problems doing my usual activities"
          },
          {
            "value": "I am unable to do my usual activities",
            "label": "I am unable to do my usual activities"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D203\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D203\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.EQ5D04",
      "fieldordinal": 7,
      "question": "Pain/Discomfort",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I have no pain or discomfort",
            "label": "I have no pain or discomfort"
          },
          {
            "value": "I have slight pain or discomfort",
            "label": "I have slight pain or discomfort"
          },
          {
            "value": "I have moderate pain or discomfort",
            "label": "I have moderate pain or discomfort"
          },
          {
            "value": "I have severe pain or discomfort",
            "label": "I have severe pain or discomfort"
          },
          {
            "value": "I have extreme pain or discomfort",
            "label": "I have extreme pain or discomfort"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D204\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D204\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.EQ5D05",
      "fieldordinal": 8,
      "question": "Anxiety/Depression",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "I am not anxious or depressed",
            "label": "I am not anxious or depressed"
          },
          {
            "value": "I am slightly anxious or depressed",
            "label": "I am slightly anxious or depressed"
          },
          {
            "value": "I am moderately anxious or depressed",
            "label": "I am moderately anxious or depressed"
          },
          {
            "value": "I am severely anxious or depressed",
            "label": "I am severely anxious or depressed"
          },
          {
            "value": "I am extremely anxious or depressed",
            "label": "I am extremely anxious or depressed"
          }
        ]
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D205\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D205\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "eq5d5l.EQ5D06",
      "fieldordinal": 9,
      "question": "Health state Visual Analog Score",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSORRES",
          "notes": "when QS.QSTESTCD=\"EQ5D206\"",
          "raw": "QS.QSORRES when QS.QSTESTCD=\"EQ5D206\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: EQ-5D-5L

Show domain info

Primary Domain

All Domains

#	Question	Response
1	Date Collected eq5d5l.DT_RAW	QS.QSDTC
2	Perfomed eq5d5l.STAT	Yes No QS.QSSTAT
3	Reason if not performed eq5d5l.REASND	QS.QSREASND
4	Mobility eq5d5l.EQ5D01	I have no problems walking I have slight problems walking I have moderate problems walking I have severe problems walking I am unable to walk QS.QSORRES when QS.QSTESTCD="EQ5D201"
5	Self-care eq5d5l.EQ5D02	I have no problems washing or dressing myself I have slight problems washing or dressing myself I have moderate problems washing or dressing myself I have severe problems washing or dressing myself I am unable to wash or dress myself QS.QSORRES when QS.QSTESTCD="EQ5D202"
6	Usual activities eq5d5l.EQ5D03	I have no problems doing my usual activities I have slight problems doing my usual activities I have moderate problems doing my usual activities I have severe problems doing my usual activities I am unable to do my usual activities QS.QSORRES when QS.QSTESTCD="EQ5D203"
7	Pain/Discomfort eq5d5l.EQ5D04	I have no pain or discomfort I have slight pain or discomfort I have moderate pain or discomfort I have severe pain or discomfort I have extreme pain or discomfort QS.QSORRES when QS.QSTESTCD="EQ5D204"
8	Anxiety/Depression eq5d5l.EQ5D05	I am not anxious or depressed I am slightly anxious or depressed I am moderately anxious or depressed I am severely anxious or depressed I am extremely anxious or depressed QS.QSORRES when QS.QSTESTCD="EQ5D205"
9	Health state Visual Analog Score eq5d5l.EQ5D06	QS.QSORRES when QS.QSTESTCD="EQ5D206"

{
  "form": {
    "formoid": "mmse",
    "title": "Mini-Mental State Examination Summary",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:45:57+00:00",
    "updated_at": "2026-02-22T11:45:57+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "field_001",
      "fieldordinal": 1,
      "question": "A. Orientation - Time (Range of",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_002",
      "fieldordinal": 2,
      "question": "A. Orientation - Place (Range of",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_003",
      "fieldordinal": 3,
      "question": "B. Registration (Range of score",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_004",
      "fieldordinal": 4,
      "question": "C. Attention and Calculation (Ra",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_005",
      "fieldordinal": 5,
      "question": "D. Recall (Range of score is 0 t",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_006",
      "fieldordinal": 6,
      "question": "E. Language (Range of score is 0",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_007",
      "fieldordinal": 7,
      "question": "Sum of scores for Sections A thr",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: Mini-Mental State Examination Summary

Show domain info

Primary Domain

All Domains

#	Question	Response
1	A. Orientation - Time (Range of field_001
2	A. Orientation - Place (Range of field_002
3	B. Registration (Range of score field_003
4	C. Attention and Calculation (Ra field_004
5	D. Recall (Range of score is 0 t field_005
6	E. Language (Range of score is 0 field_006
7	Sum of scores for Sections A thr field_007

{
  "form": {
    "formoid": "qs_ecog",
    "title": "ECOG Performacne Status",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:45:57+00:00",
    "updated_at": "2026-02-22T11:45:57+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "field_001",
      "fieldordinal": 1,
      "question": "Date of assessment",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSDTC",
          "notes": "QS.QSDTC"
        },
        {
          "notes": "qs_ecog",
          "raw": "qs_ecog"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_003",
      "fieldordinal": 3,
      "question": "",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "notes": "QSCAT=\"EOCG\"",
          "raw": "QSCAT=\"EOCG\""
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: ECOG Performacne Status

Show domain info

Primary Domain

All Domains

#	Question	Response
1	Date of assessment field_001	QS.QSDTC qs_ecog
3	field_003	QSCAT="EOCG"

{
  "form": {
    "formoid": "qs_haqdi",
    "title": "Health Assessment Questionnaire - Disability Index",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:45:57+00:00",
    "updated_at": "2026-02-22T11:45:57+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "field_001",
      "fieldordinal": 1,
      "question": "Date of assessment",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSDTC",
          "notes": "QS.QSDTC"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_002",
      "fieldordinal": 2,
      "question": "Dressing & Grooming",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_003",
      "fieldordinal": 3,
      "question": "Dress yourself, including tying",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_004",
      "fieldordinal": 4,
      "question": "Shampoo your hair?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_005",
      "fieldordinal": 5,
      "question": "Arising",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_006",
      "fieldordinal": 6,
      "question": "Stand up from an armless chair?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_007",
      "fieldordinal": 7,
      "question": "Get in and out of bed?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_008",
      "fieldordinal": 8,
      "question": "Eating",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_009",
      "fieldordinal": 9,
      "question": "Cut up your own meat?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_010",
      "fieldordinal": 10,
      "question": "Lift a full cup or glass to your",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_011",
      "fieldordinal": 11,
      "question": "Open a new carton of milk (or so",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_012",
      "fieldordinal": 12,
      "question": "Walking",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_013",
      "fieldordinal": 13,
      "question": "Walk outdoors on flat ground?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_014",
      "fieldordinal": 14,
      "question": "Climb up five steps?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_015",
      "fieldordinal": 15,
      "question": "AIDS or DEVICES that you usually",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_016",
      "fieldordinal": 16,
      "question": "Devices used for Dressing (butto",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_017",
      "fieldordinal": 17,
      "question": "Cane (W)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_018",
      "fieldordinal": 18,
      "question": "Walking Frame (W)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_019",
      "fieldordinal": 19,
      "question": "Crutches (W)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_020",
      "fieldordinal": 20,
      "question": "Wheel Chair (W)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_021",
      "fieldordinal": 21,
      "question": "Special or built up chair (A)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_022",
      "fieldordinal": 22,
      "question": "Built up or special utensils (E)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_023",
      "fieldordinal": 23,
      "question": "Any other devices used?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_024",
      "fieldordinal": 24,
      "question": "Specify if any other device is u",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_025",
      "fieldordinal": 25,
      "question": "Any categories for which help is",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_026",
      "fieldordinal": 26,
      "question": "Dressing and Grooming",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_027",
      "fieldordinal": 27,
      "question": "Arising",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_028",
      "fieldordinal": 28,
      "question": "Eating",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_029",
      "fieldordinal": 29,
      "question": "Walking",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_030",
      "fieldordinal": 30,
      "question": "Hygiene",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_031",
      "fieldordinal": 31,
      "question": "Wash and dry your entire body?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_032",
      "fieldordinal": 32,
      "question": "Take a bath?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_033",
      "fieldordinal": 33,
      "question": "Get on and off the toilet?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_034",
      "fieldordinal": 34,
      "question": "Reach",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_035",
      "fieldordinal": 35,
      "question": "Reach and get down a 5 lb object",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_036",
      "fieldordinal": 36,
      "question": "Bend down to pick up clothing of",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_037",
      "fieldordinal": 37,
      "question": "Grip",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_038",
      "fieldordinal": 38,
      "question": "Open car doors?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_039",
      "fieldordinal": 39,
      "question": "Open jars which have been previo",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_040",
      "fieldordinal": 40,
      "question": "Turn taps on and off?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_041",
      "fieldordinal": 41,
      "question": "Activities",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_042",
      "fieldordinal": 42,
      "question": "Run errands and shop?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_043",
      "fieldordinal": 43,
      "question": "Get in and out of a car?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_044",
      "fieldordinal": 44,
      "question": "Do chores such as vacuuming, hou",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Without ANY difficulty",
            "label": "Without ANY difficulty"
          },
          {
            "value": "With SOME difficulty",
            "label": "With SOME difficulty"
          },
          {
            "value": "With MUCH difficulty",
            "label": "With MUCH difficulty"
          },
          {
            "value": "UNABLE to do",
            "label": "UNABLE to do"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_045",
      "fieldordinal": 45,
      "question": "any AIDS or DEVICES that you usu",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_046",
      "fieldordinal": 46,
      "question": "Raised toilet seat (H)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_047",
      "fieldordinal": 47,
      "question": "Bath seat (H)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_048",
      "fieldordinal": 48,
      "question": "Bath rail (H)",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_049",
      "fieldordinal": 49,
      "question": "Long-handled appliances for reac",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_050",
      "fieldordinal": 50,
      "question": "Jar opener (for jars previously",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_051",
      "fieldordinal": 51,
      "question": "Any categories for which help is",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_052",
      "fieldordinal": 52,
      "question": "Hygiene",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_053",
      "fieldordinal": 53,
      "question": "Reach",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_054",
      "fieldordinal": 54,
      "question": "Gripping and opening things",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_055",
      "fieldordinal": 55,
      "question": "Errands or housework",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes",
            "label": "Yes"
          },
          {
            "value": "No",
            "label": "No"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_056",
      "fieldordinal": 56,
      "question": "how well you are doing on a scal",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_057",
      "fieldordinal": 57,
      "question": "How much pain have you had IN TH",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: Health Assessment Questionnaire - Disability Index

Show domain info

Primary Domain

All Domains

#	Question	Response
1	Date of assessment field_001	QS.QSDTC
2	Dressing & Grooming field_002
3	Dress yourself, including tying field_003	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
4	Shampoo your hair? field_004	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
5	Arising field_005
6	Stand up from an armless chair? field_006	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
7	Get in and out of bed? field_007	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
8	Eating field_008
9	Cut up your own meat? field_009	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
10	Lift a full cup or glass to your field_010	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
11	Open a new carton of milk (or so field_011	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
12	Walking field_012
13	Walk outdoors on flat ground? field_013	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
14	Climb up five steps? field_014	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
15	AIDS or DEVICES that you usually field_015
16	Devices used for Dressing (butto field_016	Yes No
17	Cane (W) field_017	Yes No
18	Walking Frame (W) field_018	Yes No
19	Crutches (W) field_019	Yes No
20	Wheel Chair (W) field_020	Yes No
21	Special or built up chair (A) field_021	Yes No
22	Built up or special utensils (E) field_022	Yes No
23	Any other devices used? field_023	Yes No
24	Specify if any other device is u field_024
25	Any categories for which help is field_025
26	Dressing and Grooming field_026	Yes No
27	Arising field_027	Yes No
28	Eating field_028	Yes No
29	Walking field_029	Yes No
30	Hygiene field_030
31	Wash and dry your entire body? field_031	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
32	Take a bath? field_032	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
33	Get on and off the toilet? field_033	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
34	Reach field_034
35	Reach and get down a 5 lb object field_035	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
36	Bend down to pick up clothing of field_036	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
37	Grip field_037
38	Open car doors? field_038	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
39	Open jars which have been previo field_039	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
40	Turn taps on and off? field_040	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
41	Activities field_041
42	Run errands and shop? field_042	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
43	Get in and out of a car? field_043	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
44	Do chores such as vacuuming, hou field_044	Without ANY difficulty With SOME difficulty With MUCH difficulty UNABLE to do
45	any AIDS or DEVICES that you usu field_045
46	Raised toilet seat (H) field_046	Yes No
47	Bath seat (H) field_047	Yes No
48	Bath rail (H) field_048	Yes No
49	Long-handled appliances for reac field_049	Yes No
50	Jar opener (for jars previously field_050	Yes No
51	Any categories for which help is field_051
52	Hygiene field_052	Yes No
53	Reach field_053	Yes No
54	Gripping and opening things field_054	Yes No
55	Errands or housework field_055	Yes No
56	how well you are doing on a scal field_056
57	How much pain have you had IN TH field_057

{
  "form": {
    "formoid": "sf36",
    "title": "SF 36 Health Survey",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:45:57+00:00",
    "updated_at": "2026-02-22T11:45:57+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "field_001",
      "fieldordinal": 1,
      "question": "Date of assessment",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [
        {
          "domain": "QS",
          "variable": "QSDTC",
          "notes": "QS.QSDTC"
        }
      ],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_002",
      "fieldordinal": 2,
      "question": "1. In general, would you say you",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Excellent",
            "label": "Excellent"
          },
          {
            "value": "Very Good",
            "label": "Very Good"
          },
          {
            "value": "Good",
            "label": "Good"
          },
          {
            "value": "Fair",
            "label": "Fair"
          },
          {
            "value": "Poor",
            "label": "Poor"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_003",
      "fieldordinal": 3,
      "question": "2. Compared to one year ago, how",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Much better now than one year ago",
            "label": "Much better now than one year ago"
          },
          {
            "value": "Somewhat better now than one year ago",
            "label": "Somewhat better now than one year ago"
          },
          {
            "value": "About the same as one year ago",
            "label": "About the same as one year ago"
          },
          {
            "value": "Somewhat worse now than one year ago",
            "label": "Somewhat worse now than one year ago"
          },
          {
            "value": "Much worse now than one year ago",
            "label": "Much worse now than one year ago"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_004",
      "fieldordinal": 4,
      "question": "3.a. Vigorous activities, such a",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_005",
      "fieldordinal": 5,
      "question": "3.b. Moderate activities, such a",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_006",
      "fieldordinal": 6,
      "question": "3.c. Lifting or carrying groceri",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_007",
      "fieldordinal": 7,
      "question": "3.d. Climbing several flights of",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_008",
      "fieldordinal": 8,
      "question": "3.e. Climbing one flight of stai",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_009",
      "fieldordinal": 9,
      "question": "3.f. Bending, kneeling, or stoop",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_010",
      "fieldordinal": 10,
      "question": "3.g. Walking more than a mile",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_011",
      "fieldordinal": 11,
      "question": "3.h. Walking several hundred yar",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_012",
      "fieldordinal": 12,
      "question": "3.i. Walking one hundred yards",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_013",
      "fieldordinal": 13,
      "question": "3.j. Bathing or dressing yoursel",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Yes, limited a lot",
            "label": "Yes, limited a lot"
          },
          {
            "value": "Yes, limited a little",
            "label": "Yes, limited a little"
          },
          {
            "value": "No, not limited at all",
            "label": "No, not limited at all"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_014",
      "fieldordinal": 14,
      "question": "4.a. Cut down on the amount of t",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_015",
      "fieldordinal": 15,
      "question": "4.b. Accomplished less than you",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_016",
      "fieldordinal": 16,
      "question": "4.c. Were limited in the kind of",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_017",
      "fieldordinal": 17,
      "question": "4.d. Had difficulty performing t",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_018",
      "fieldordinal": 18,
      "question": "5.a. Cut down on the amount of t",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_019",
      "fieldordinal": 19,
      "question": "5.b. Accomplished less than you",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_020",
      "fieldordinal": 20,
      "question": "5.c. Didn't do work or other act",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_021",
      "fieldordinal": 21,
      "question": "6. During the past 4 weeks, to w",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Not at all",
            "label": "Not at all"
          },
          {
            "value": "Slightly",
            "label": "Slightly"
          },
          {
            "value": "Moderately",
            "label": "Moderately"
          },
          {
            "value": "Quite a bit",
            "label": "Quite a bit"
          },
          {
            "value": "Extremely",
            "label": "Extremely"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_022",
      "fieldordinal": 22,
      "question": "7. How much bodily pain have you",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "None",
            "label": "None"
          },
          {
            "value": "Very mild",
            "label": "Very mild"
          },
          {
            "value": "Mild",
            "label": "Mild"
          },
          {
            "value": "Moderate",
            "label": "Moderate"
          },
          {
            "value": "Severe",
            "label": "Severe"
          },
          {
            "value": "Very severe",
            "label": "Very severe"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_023",
      "fieldordinal": 23,
      "question": "8. During the past 4 weeks, how",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Not at all",
            "label": "Not at all"
          },
          {
            "value": "Slightly",
            "label": "Slightly"
          },
          {
            "value": "Moderately",
            "label": "Moderately"
          },
          {
            "value": "Quite a bit",
            "label": "Quite a bit"
          },
          {
            "value": "Extremely",
            "label": "Extremely"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_024",
      "fieldordinal": 24,
      "question": "9.a. Did you feel full of life?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_025",
      "fieldordinal": 25,
      "question": "9.b. Have you been very nervous?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_026",
      "fieldordinal": 26,
      "question": "9.c. Have you felt so down in th",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_027",
      "fieldordinal": 27,
      "question": "9.d. Have you felt calm and peac",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_028",
      "fieldordinal": 28,
      "question": "9.e. Did you have a lot of energ",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_029",
      "fieldordinal": 29,
      "question": "9.f. Have you felt downhearted a",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_030",
      "fieldordinal": 30,
      "question": "9.g. Did you feel worn out?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_031",
      "fieldordinal": 31,
      "question": "9.h. Have you been happy?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_032",
      "fieldordinal": 32,
      "question": "9.i. Did you feel tired?",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_033",
      "fieldordinal": 33,
      "question": "10. During the past 4 weeks, how",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "All of the time",
            "label": "All of the time"
          },
          {
            "value": "Most of the time",
            "label": "Most of the time"
          },
          {
            "value": "Some of the time",
            "label": "Some of the time"
          },
          {
            "value": "A little of the time",
            "label": "A little of the time"
          },
          {
            "value": "None of the time",
            "label": "None of the time"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_034",
      "fieldordinal": 34,
      "question": "11.a. I seem to get sick a littl",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Definitely true",
            "label": "Definitely true"
          },
          {
            "value": "Mostly true",
            "label": "Mostly true"
          },
          {
            "value": "Don\u2019t know",
            "label": "Don\u2019t know"
          },
          {
            "value": "Mostly false",
            "label": "Mostly false"
          },
          {
            "value": "Definitely false",
            "label": "Definitely false"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_035",
      "fieldordinal": 35,
      "question": "11.b. I am as healthy as anyone",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Definitely true",
            "label": "Definitely true"
          },
          {
            "value": "Mostly true",
            "label": "Mostly true"
          },
          {
            "value": "Don\u2019t know",
            "label": "Don\u2019t know"
          },
          {
            "value": "Mostly false",
            "label": "Mostly false"
          },
          {
            "value": "Definitely false",
            "label": "Definitely false"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_036",
      "fieldordinal": 36,
      "question": "11.c. I expect my health to get",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Definitely true",
            "label": "Definitely true"
          },
          {
            "value": "Mostly true",
            "label": "Mostly true"
          },
          {
            "value": "Don\u2019t know",
            "label": "Don\u2019t know"
          },
          {
            "value": "Mostly false",
            "label": "Mostly false"
          },
          {
            "value": "Definitely false",
            "label": "Definitely false"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_037",
      "fieldordinal": 37,
      "question": "11.d. My health is excellent",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "Definitely true",
            "label": "Definitely true"
          },
          {
            "value": "Mostly true",
            "label": "Mostly true"
          },
          {
            "value": "Don\u2019t know",
            "label": "Don\u2019t know"
          },
          {
            "value": "Mostly false",
            "label": "Mostly false"
          },
          {
            "value": "Definitely false",
            "label": "Definitely false"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    },
    {
      "fieldoid": "field_038",
      "fieldordinal": 38,
      "question": "",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:45:57+00:00",
        "updated_at": "2026-02-22T11:45:57+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: SF 36 Health Survey

Show domain info

Primary Domain

All Domains

#	Question	Response
1	Date of assessment field_001	QS.QSDTC
2	1. In general, would you say you field_002	Excellent Very Good Good Fair Poor
3	2. Compared to one year ago, how field_003	Much better now than one year ago Somewhat better now than one year ago About the same as one year ago Somewhat worse now than one year ago Much worse now than one year ago
4	3.a. Vigorous activities, such a field_004	Yes, limited a lot Yes, limited a little No, not limited at all
5	3.b. Moderate activities, such a field_005	Yes, limited a lot Yes, limited a little No, not limited at all
6	3.c. Lifting or carrying groceri field_006	Yes, limited a lot Yes, limited a little No, not limited at all
7	3.d. Climbing several flights of field_007	Yes, limited a lot Yes, limited a little No, not limited at all
8	3.e. Climbing one flight of stai field_008	Yes, limited a lot Yes, limited a little No, not limited at all
9	3.f. Bending, kneeling, or stoop field_009	Yes, limited a lot Yes, limited a little No, not limited at all
10	3.g. Walking more than a mile field_010	Yes, limited a lot Yes, limited a little No, not limited at all
11	3.h. Walking several hundred yar field_011	Yes, limited a lot Yes, limited a little No, not limited at all
12	3.i. Walking one hundred yards field_012	Yes, limited a lot Yes, limited a little No, not limited at all
13	3.j. Bathing or dressing yoursel field_013	Yes, limited a lot Yes, limited a little No, not limited at all
14	4.a. Cut down on the amount of t field_014	All of the time Most of the time Some of the time A little of the time None of the time
15	4.b. Accomplished less than you field_015	All of the time Most of the time Some of the time A little of the time None of the time
16	4.c. Were limited in the kind of field_016	All of the time Most of the time Some of the time A little of the time None of the time
17	4.d. Had difficulty performing t field_017	All of the time Most of the time Some of the time A little of the time None of the time
18	5.a. Cut down on the amount of t field_018	All of the time Most of the time Some of the time A little of the time None of the time
19	5.b. Accomplished less than you field_019	All of the time Most of the time Some of the time A little of the time None of the time
20	5.c. Didn't do work or other act field_020	All of the time Most of the time Some of the time A little of the time None of the time
21	6. During the past 4 weeks, to w field_021	Not at all Slightly Moderately Quite a bit Extremely
22	7. How much bodily pain have you field_022	None Very mild Mild Moderate Severe Very severe
23	8. During the past 4 weeks, how field_023	Not at all Slightly Moderately Quite a bit Extremely
24	9.a. Did you feel full of life? field_024	All of the time Most of the time Some of the time A little of the time None of the time
25	9.b. Have you been very nervous? field_025	All of the time Most of the time Some of the time A little of the time None of the time
26	9.c. Have you felt so down in th field_026	All of the time Most of the time Some of the time A little of the time None of the time
27	9.d. Have you felt calm and peac field_027	All of the time Most of the time Some of the time A little of the time None of the time
28	9.e. Did you have a lot of energ field_028	All of the time Most of the time Some of the time A little of the time None of the time
29	9.f. Have you felt downhearted a field_029	All of the time Most of the time Some of the time A little of the time None of the time
30	9.g. Did you feel worn out? field_030	All of the time Most of the time Some of the time A little of the time None of the time
31	9.h. Have you been happy? field_031	All of the time Most of the time Some of the time A little of the time None of the time
32	9.i. Did you feel tired? field_032	All of the time Most of the time Some of the time A little of the time None of the time
33	10. During the past 4 weeks, how field_033	All of the time Most of the time Some of the time A little of the time None of the time
34	11.a. I seem to get sick a littl field_034	Definitely true Mostly true Don’t know Mostly false Definitely false
35	11.b. I am as healthy as anyone field_035	Definitely true Mostly true Don’t know Mostly false Definitely false
36	11.c. I expect my health to get field_036	Definitely true Mostly true Don’t know Mostly false Definitely false
37	11.d. My health is excellent field_037	Definitely true Mostly true Don’t know Mostly false Definitely false
38	field_038

{
  "form": {
    "formoid": "wpai_ans",
    "title": "Work Productivity and Activity Impairment: Anemic Symptoms",
    "description": "",
    "version": "1.0",
    "created_at": "2026-02-22T11:44:35+00:00",
    "updated_at": "2026-02-22T11:44:35+00:00",
    "source": "crfs\\db1_qs_fields.txt",
    "notes": "[crfdb=db1, domain=QS]"
  },
  "sdtm": {
    "primary_domain": "QS",
    "domains": [
      "QS"
    ],
    "annotation_style": "legacy_text",
    "global_notes": "Converted from legacy TSV: db1_qs_fields.txt"
  },
  "ui": [],
  "fields": [
    {
      "fieldoid": "field_001",
      "fieldordinal": 1,
      "question": "Date of assessment",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_002",
      "fieldordinal": 2,
      "question": "1. Are you currently employed (w",
      "response": {
        "type": "radio",
        "options": [
          {
            "value": "NO",
            "label": "NO"
          },
          {
            "value": "YES",
            "label": "YES"
          }
        ]
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_003",
      "fieldordinal": 3,
      "question": "2. During the past seven days, h",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_004",
      "fieldordinal": 4,
      "question": "3. During the past seven days, h",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_005",
      "fieldordinal": 5,
      "question": "4. During the past seven days, h",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_006",
      "fieldordinal": 6,
      "question": "5. During the past seven days, h",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_007",
      "fieldordinal": 7,
      "question": "6. During the past seven days, h",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    },
    {
      "fieldoid": "field_008",
      "fieldordinal": 8,
      "question": "",
      "response": {
        "type": "textbox"
      },
      "sdtm_annotation": [],
      "audit": {
        "created_at": "2026-02-22T11:44:35+00:00",
        "updated_at": "2026-02-22T11:44:35+00:00"
      }
    }
  ]
}

Example Case Report Forms for QS domain

Sources: DB1 | Forms loaded: 7

Form: Work Productivity and Activity Impairment: Anemic Symptoms

Show domain info

Primary Domain

All Domains

#	Question	Response
1	Date of assessment field_001
2	1. Are you currently employed (w field_002	NO YES
3	2. During the past seven days, h field_003
4	3. During the past seven days, h field_004
5	4. During the past seven days, h field_005
6	5. During the past seven days, h field_006
7	6. During the past seven days, h field_007
8	field_008