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MSFC Multiple Sclerosis ALAIN01 NCT02419378

1 forms  
Multiple Sclerosis Functional Composite
Description

Multiple Sclerosis Functional Composite

Patient ID (derived)
Description

Patient ID (derived)

Data type

text

Alias
UMLS CUI [1]
C2348585
MSFC+ Quest.: add. quarterly inf. consent yes/no
Description

MSFC+ Quest.: add. quarterly inf. consent yes/no

Data type

text

MSFC+ Quest.: add. semiannual inf. consent yes/no
Description

MSFC+ Quest.: add. semiannual inf. consent yes/no

Data type

text

MSFC + Questionnaires: Date
Description

MSFC + Questionnaires: Date

Data type

date

MSFC + Questionnaires: Date Status
Description

MSFC + Questionnaires: Date Status

Data type

text

Comment MSFC
Description

Comment MSFC

Data type

text

Visit Info
Description

Visit Info

Data type

text

Timed 25-Foot Walk
Description

Timed 25-Foot Walk

Alias
UMLS CUI-1
C0430517
Timed 25-Foot Walk: AFO yes/no
Description

AFO

Data type

text

Timed 25-Foot Walk: assistive device yes/no
Description

assistive device

Data type

text

Timed 25-Foot Walk: Unilateral Ass.
Description

Unilateral Assistance

Data type

text

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C1269765
Timed 25-Foot Walk: Bilateral Ass.
Description

Bilateral Assistance

Data type

text

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C1269765
Timed 25-Foot Walk: Unilateral Ass. (Category)
Description

Unilateral Assistance (Category)

Data type

text

Timed 25-Foot Walk: Bilateral Ass. (Category)
Description

Bilateral Assistance (Category)

Data type

text

Timed 25-Foot Walk: Time Trial 1
Description

Time 25-Foot Walk Trial 1

Data type

float

Measurement units
  • sec
sec
Timed 25-Foot Walk: not completed Trial 1
Description

Timed 25-Foot Walk: not completed Trial 1

Data type

text

Timed 25-Foot Walk: Time Trial 2
Description

Time 25-Foot Walk Trial 2

Data type

float

Measurement units
  • sec
sec
Timed 25-Foot Walk: not completed Trial 2
Description

Timed 25-Foot Walk: not completed Trial 2

Data type

text

9-Hole Peg Test
Description

9-Hole Peg Test

Alias
UMLS CUI-1
C0451335
9-Hole Peg Test: dominant hand
Description

Dominant hand

Data type

text

Alias
UMLS CUI [1]
C0449722
9-Hole Peg Test: Time dom. Trial 1
Description

Time dominant hand Trial 1

Data type

float

Measurement units
  • sec
sec
9-Hole Peg Test: not completed dom. Trial 1
Description

9-Hole Peg Test: not completed dom. Trial 1

Data type

text

9-Hole Peg Test: Time non-dom. Trial 1
Description

Time non-dominant hand Trial 1

Data type

float

Measurement units
  • sec
sec
9-Hole Peg Test: not completed non-dom. Trial 1
Description

9-Hole Peg Test: not completed non-dom. Trial 1

Data type

text

9-Hole Peg Test: Time (sec) dom. Trial 2
Description

9-Hole Peg Test: Time (sec) dom. Trial 2

Data type

float

9-Hole Peg Test: not completed dom. Trial 2
Description

9-Hole Peg Test: not completed dom. Trial 2

Data type

text

9-Hole Peg Test: Time (sec) non-dom. Trial 2
Description

9-Hole Peg Test: Time (sec) non-dom. Trial 2

Data type

float

9-Hole Peg Test: not completed non-dom. Trial 2
Description

9-Hole Peg Test: not completed non-dom. Trial 2

Data type

text

PASAT
Description

PASAT

Alias
UMLS CUI-1
C0589060
PASAT Form used
Description

PASAT Form used

Data type

text

PASAT3: Total correct
Description

PASAT3 total correct

Data type

integer

PASAT3: not completed
Description

PASAT3: not completed

Data type

text

PASAT2: Total correct
Description

PASAT2 total correct

Data type

integer

PASAT2: not completed
Description

PASAT2: not completed

Data type

text

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Similar models

MSFC Multiple Sclerosis ALAIN01 NCT02419378

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Multiple Sclerosis Functional Composite
Patient ID (derived)
Item
Patient ID (derived)
text
C2348585 (UMLS CUI [1])
MSFC+ Quest.: add. quarterly inf. consent yes/no
Code List
MSFC+ Quest.: add. quarterly inf. consent yes/no
CL Item
yes (1)
CL Item
no (0)
MSFC+ Quest.: add. semiannual inf. consent yes/no
Code List
MSFC+ Quest.: add. semiannual inf. consent yes/no
CL Item
yes (1)
CL Item
no (0)
MSFC Questionnaires Date
Item
MSFC + Questionnaires: Date
date
MSFC + Questionnaires: Date Status
Code List
MSFC + Questionnaires: Date Status
CL Item
T (1)
CL Item
TM (2)
CL Item
M (3)
Comment MSFC
Item
text
Visit Info
Item
text
Item Group
Timed 25-Foot Walk
C0430517 (UMLS CUI-1)
Item
Timed 25-Foot Walk: AFO yes/no
text
Timed 25-Foot Walk: AFO yes/no
Code List
Timed 25-Foot Walk: AFO yes/no
CL Item
yes (1)
CL Item
no (0)
Item
Timed 25-Foot Walk: assistive device yes/no
text
Timed 25-Foot Walk: assistive device yes/no
Code List
Timed 25-Foot Walk: assistive device yes/no
CL Item
yes (1)
CL Item
no (0)
Item
Timed 25-Foot Walk: Unilateral Ass.
text
C0205092 (UMLS CUI [1,1])
C1269765 (UMLS CUI [1,2])
Timed 25-Foot Walk: Unilateral Ass.
Code List
Timed 25-Foot Walk: Unilateral Ass.
CL Item
Unilateral Assistance (1)
Item
Timed 25-Foot Walk: Bilateral Ass.
text
C0238767 (UMLS CUI [1,1])
C1269765 (UMLS CUI [1,2])
Timed 25-Foot Walk: Bilateral Ass.
Code List
Timed 25-Foot Walk: Bilateral Ass.
CL Item
Bilateral Assistance (1)
Item
Timed 25-Foot Walk: Unilateral Ass. (Category)
text
Timed 25-Foot Walk: Unilateral Ass. (Category)
Code List
Timed 25-Foot Walk: Unilateral Ass. (Category)
CL Item
Cane (1)
C0006856 (UMLS CUI-1)
CL Item
Crutch (2)
C0010397 (UMLS CUI-1)
Item
Timed 25-Foot Walk: Bilateral Ass. (Category)
text
Timed 25-Foot Walk: Bilateral Ass. (Category)
Code List
Timed 25-Foot Walk: Bilateral Ass. (Category)
CL Item
Cane (1)
C0006856 (UMLS CUI-1)
CL Item
Crutch (2)
C0010397 (UMLS CUI-1)
CL Item
Walker/Rollator (3)
C0184339 (UMLS CUI-1)
Time 25-Foot Walk Trial 1
Item
Timed 25-Foot Walk: Time Trial 1
float
Item
Timed 25-Foot Walk: not completed Trial 1
text
Timed 25-Foot Walk: not completed Trial 1
Code List
Timed 25-Foot Walk: not completed Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Time 25-Foot Walk Trial 2
Item
Timed 25-Foot Walk: Time Trial 2
float
Item
Timed 25-Foot Walk: not completed Trial 2
text
Timed 25-Foot Walk: not completed Trial 2
Code List
Timed 25-Foot Walk: not completed Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Item Group
9-Hole Peg Test
C0451335 (UMLS CUI-1)
Item
9-Hole Peg Test: dominant hand
text
C0449722 (UMLS CUI [1])
9-Hole Peg Test: dominant hand
Code List
9-Hole Peg Test: dominant hand
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
Time dominant hand Trial 1
Item
9-Hole Peg Test: Time dom. Trial 1
float
9-Hole Peg Test: not completed dom. Trial 1
Code List
9-Hole Peg Test: not completed dom. Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Time non-dominant hand Trial 1
Item
9-Hole Peg Test: Time non-dom. Trial 1
float
9-Hole Peg Test: not completed non-dom. Trial 1
Code List
9-Hole Peg Test: not completed non-dom. Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
9-Hole Peg Test: Time (sec) dom. Trial 2
Item
float
9-Hole Peg Test: not completed dom. Trial 2
Code List
9-Hole Peg Test: not completed dom. Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
9-Hole Peg Test: Time (sec) non-dom. Trial 2
Item
float
9-Hole Peg Test: not completed non-dom. Trial 2
Code List
9-Hole Peg Test: not completed non-dom. Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
Item Group
PASAT
C0589060 (UMLS CUI-1)
PASAT Form used
Code List
PASAT Form used
CL Item
Form A (1)
CL Item
Form B (2)
PASAT3 total correct
Item
PASAT3: Total correct
integer
PASAT3: not completed
Code List
PASAT3: not completed
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
PASAT2 total correct
Item
PASAT2: Total correct
integer
PASAT2: not completed
Code List
PASAT2: not completed
CL Item
Unable due to physical limitations (1)
CL Item
Other (9)
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