Form Structure: Military Health System Patient's Global Impression of Change (PGIC)

Short Name:
PGIC_MHS
Description:
Patient's Global Impression of Change (PGIC) instrument developed by Military Health System as well as chiro.org. References: NINDS CDE: https://www.commondataelements.ninds.nih.gov/report-viewer/25166/Patient%20Global%20Impression%20of%20Change%20Scale Military Health system: https://health.mil/Reference-Center/Forms/2015/05/01/Patient-Global-Impression-Change-Scale. Guy W, editor. ECDEU Assessment Manual for Psychopharmacology. 1976. Rockville, MD, U.S. Department of Health, Education, and Welfare. :Hurst H, Bolton J. Assessing the clinical significance of change scores recorded on subjective outcome measures. J Manipulative Physiol Ther 2004;27:26-35. Military Health system -(https://health.mil/Reference-Center/Forms/2015/05/01/Patient-Global-Impression-Change-Scale)
Disease:
Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard
Publication Date:
2025-01-13
Version:
1.0
Date Created:
2026-03-20
Created By:
Number of Data Elements:
18
eForms:
N

Attached Data Elements

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
6 Site name   The name of the site for the study SiteName Recommended CDE
7 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study. CaseContrlInd Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

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Form Administration (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Language form administration ISO code  Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration LangCRFAdministratISOCode Recommended CDE
2 Language form administration ISO code other text  The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. LangCRFAdministratISOCodeOTH Recommended CDE
3 Context type  The context to which the questions were answered ContextType Recommended CDE
4 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
5 Data source  Source of the data provided on the case report form DataSource Recommended CDE
6 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

PGIC (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Patient's global impression of change (PGIC) - scale  Scale of patient's global impression of change, as part of PATIENTS GLOBAL IMPRESSION OF CHANGE (PGIC) SCALE developed by Military Health System PGICChangeScl Recommended CDE
2 Patient's global impression of change (PGIC) - degree of change scale  Scale of degree of change for patient's global impression of change,as part of PATIENTS GLOBAL IMPRESSION OF CHANGE (PGIC) SCALE developed by Military Health System PGICDegreeOfChangeScl Recommended CDE
3 Patient's global impression of change (PGIC) - presenting problem text  A free text describing the chief subject complaint or presenting problem, as part of PATIENTS GLOBAL IMPRESSION OF CHANGE (PGIC) SCALE developed by Military Health System PGICPresentingProblemTxt Recommended UDE