Questionnaire Example 1 ():  USUBJID STUDYIDDOMAINQSCAT QSSUBCAT QSTESTCDRow 1 P0001 STUDYX QS SF36 GENERAL HEALTH GH1Row 2 P0001 STUDYX QS SF36 GENERAL HEALTH GH11ARow 3 P0001 STUDYX QS SF36 GENERAL HEALTH GH11BRow 4 P0001 STUDYX QS SF36 GENERAL HEALTH GH11CRow 5 P0001 STUDYX QS SF36 GENERAL HEALTH GHRow 6 P0001 STUDYX QS SF36 GENERAL HEALTH GHINDEXRow 7 P0001 STUDYX QS SF36 ROLE-PHYSICAL RP4ARow 8 P0001 STUDYX QS SF36 ROLE-PHYSICAL RP4BRow 9 P0001 STUDYX QS SF36 ROLE-PHYSICAL RP4CRow 10 P0001 STUDYX QS SF36 ROLE-PHYSICAL RPRow 11 P0001 STUDYX QS SF36 ROLE-PHYSICAL RPINDEX

  QSTEST QSDTC QSSEQ VISIT VISITNUMRow 1 HEALTH 2001-03-28 1BASELINE 2Row 2 SICK A LITTLE EASIER 2001-03-28 2BASELINE 2Row 3 HEALTHY AS ANYBODY 2001-03-28 3BASELINE 2Row 4 EXPECT HEALTH TO GET WORSE 2001-03-28 4BASELINE 2Row 5 SF-36 GENERAL HEALTH

PERCEPTIONS2001-03-28 6BASELINE 2

Row 6 SF-36 GENERAL HEALTH PERCEPTIONS (0-100)

2001-03-28 7BASELINE 2

Row 7 PHYS. HEALTH-CUT DOWN TIME SPENT

2001-03-28 8BASELINE 2

Row 8 PHYS. HEALTH-ACCOMPLISHED LESS 2001-03-28 9BASELINE 2Row 9 PHYS. HEALTH-LIMIT KIND OF WORK 2001-03-28 10BASELINE 2Row 10 SF-36 ROLE-PHYSICAL 2001-03-28 12BASELINE 2Row 11 SF-36 ROLE-PHYSICAL (0-100) 2001-03-28 13BASELINE 2

  QSDY QSORRES QSSTRESN QSSTRESC QSBLFL QSDRVFLRow 1 -2VERY GOOD 4.4VERY GOOD Y  Row 2 -2MOSTLY FALSE 4MOSTLY FALSE Y  Row 3 -2MOSTLY TRUE 4MOSTLY TRUE Y  Row 4 -2DEFINITELY FALSE 5DEFINITELY FALSE Y  Row 5 -2  21.421.4 Y YRow 6 -2  8282 Y YRow 7 -2NO 2NO Y  Row 8 -2NO 2NO Y  Row 9 -2NO 2NO Y  Row 10 -2  88 Y YRow 11 -2  100100 Y Y

- Shows derived records. Notice how QSORRES is blank for derived records. - Entire example is of a questionnaire with standard text answers that have an associated score. The example shows how the textual answer is handled in the QSORRES FIELD, while the QSSTRESC and QSSTRESN contain the standardized score value.

Questionnaire Example 2 ():  USUBJID STUDYIDDOMAINQSCAT QSSUBCAT QSTESTCD QSTESTRow 1 P0001 STUDYX QS ADAS WORD RECALL COG01T02 ARMRow 2 P0001 STUDYX QS ADAS WORD RECALL COG01T02 ARMRow 3 P0001 STUDYX QS ADAS WORD RECALL COG01T02 ARMRow 4 P0001 STUDYX QS ADAS WORD RECALL COG01T03 BUTTERRow 5 P0001 STUDYX QS ADAS WORD RECALL COG01T03 BUTTERRow 6 P0001 STUDYX QS ADAS WORD RECALL COG01T03 BUTTERRow 7 P0001 STUDYX QS ADAS WORD RECALL COG01T04 CABINRow 8 P0001 STUDYX QS ADAS WORD RECALL COG01T04 CABINRow 9 P0001 STUDYX QS ADAS WORD RECALL COG01T04 CABINRow 10 P0001 STUDYX QS ADAS WORD RECALL COG01T09 GRASSRow 11 P0001 STUDYX QS ADAS WORD RECALL COG01X WORD RECALL

  QSTPTNUMQSDTC QSSEQ VISIT VISITNUMVISITDY QSDY QSORRESRow 1 12001-03-20 1SCREENING 1 -14 -10NORow 2 22001-03-20 2SCREENING 1 -14 -10NORow 3 32001-03-20 3SCREENING 1 -14 -10NORow 4 12001-03-20 4SCREENING 1 -14 -10NORow 5 22001-03-20 5SCREENING 1 -14 -10NORow 6 32001-03-20 6SCREENING 1 -14 -10NORow 7 12001-03-20 7SCREENING 1 -14 -10NORow 8 22001-03-20 8SCREENING 1 -14 -10NORow 9 32001-03-20 9SCREENING 1 -14 -10NORow 10 12001-03-20 13SCREENING 1 -14 -10NORow 11 992001-03-20 14SCREENING 1 -14 -10

  QSSTRESN QSSTRESC QSBLFL QSDRVFLRow 1   NO    Row 2   NO    Row 3   NO    Row 4   NO    Row 5   NO    Row 6   NO    Row 7   NO    Row 8   NO    Row 9   NO    Row 10   NO    Row 11 9 9  Y

- Shows derived records. Notice how QSORRES is blank for derived records. - Entire example is of a questionnaire with standard text answers. These answers cannot be converted to numeric type, so only QSSTRESC is populated. The derived record, however, does have a derived value in QSSTRESN.

Notice how QSTPTNUM is used to organize the same question being asked at various time points on the same date.