Informationen: Dieses ist nicht die aktuellste Version des Datenmodells. Eine Versionsübersicht finden Sie links unter Versionen. Die aktuellste Version finden Sie hier.
Informationen:
Fehler:
ID
13671
Beschreibung
Background and Purpose: The purpose of the DESCRIBE study is to document the natural course of diseases in context of medical care of neurodegenerative disorders as well as cerebrovascular diseases and to perform phenotyping of the test persons. Disease-spanning analyses of the measured clincial data, the results of the imaging processes, results of the analysis of the biometerials including genetic analysis are planed. Principal Investigator: Prof. Klockgether, Dr. Spottke DZNE, Bonn. Source: DESCRIBE-Studie http://www.dzne.de/forschung/forschungsbereiche/klinische-forschung/studien/describe-bn006.html Participating Study Sites: Berlin, Bonn, Göttingen, Dresden, Köln, Magdeburg, München, Rostock/Greifswald, Tübingen
Link
http://www.dzne.de/forschung/forschungsbereiche/klinische-forschung/studien/describe-bn006.html
Stichworte
Versionen (5)
- 23.02.16 23.02.16 -
- 26.02.16 26.02.16 - Julian Varghese
- 03.03.16 03.03.16 -
- 03.03.16 03.03.16 -
- 20.09.21 20.09.21 -
Hochgeladen am
26. Februar 2016
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
DESCRIBE (DZNE – Clinical Register Study of neurodegenerative Disorders)
DESCRIBE CRF Follow Up
- StudyEvent: ODM
Ähnliche Modelle
DESCRIBE CRF Follow Up
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
study ID
Item
Study-ID:
text
C2826693 (UMLS CUI [1])
follow up
Item
Follow up:
text
C1522577 (UMLS CUI [1])
clinical diagnosis
Item
Did one or several diagnoses change since the baseline visit?
boolean
C0332140 (UMLS CUI [1])
Item
Subjective cognitive decline (SCD)
integer
C0234985 (UMLS CUI [1,1])
C0439655 (UMLS CUI [1,2])
C0439655 (UMLS CUI [1,2])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Amnestic mild cognitive impairment (MCI)
integer
C1270972 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Non-anamnestic mild cognitive impairment
integer
C1270972 (UMLS CUI [1,1])
C1706613 (UMLS CUI [1,2])
C1706613 (UMLS CUI [1,2])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Probable dementia along with Alzheimer's disease
integer
C3665464 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Possible dementia along with Alzheimer's disease
integer
C3665464 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Posterior cortical atrophy
integer
C0235946 (UMLS CUI [1,1])
C0205095 (UMLS CUI [1,2])
C0205095 (UMLS CUI [1,2])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Frototemperal dementia (FTD) - behavioral variant
integer
C4011788 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Progressive nonfluent aphasia (PNFA)
integer
C0751706 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Logopenic progressive Aphasia (LPA)
integer
C0282513 (UMLS CUI [1,1])
C0037825 (UMLS CUI [1,2])
C0037825 (UMLS CUI [1,2])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Idiopathic Parkinson's disease (IPS)
integer
C0030567 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Morbus parkinson along with MCI (PD-MCI)
integer
C0030567 (UMLS CUI [1])
C1270972 (UMLS CUI [2])
C1270972 (UMLS CUI [2])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Dementia due to morbus parkinson (PPD)
integer
C0236960 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Atypical Parkinson syndroms - progressive supranuclear palsy
integer
C0038868 (UMLS CUI [1])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
Item
Possible progressive supranuclear palsy
integer
C0038868 (UMLS CUI [1,1])
C0332149 (UMLS CUI [1,2])
C0332149 (UMLS CUI [1,2])
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
CL Item
Principle diagnosis (1)
C0332137 (UMLS CUI-1)
CL Item
Differential diagnosis 1 (2)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 2 (3)
C0011906 (UMLS CUI-1)
CL Item
Differential diagnosis 3 (4)
C0011906 (UMLS CUI-1)
comorbidities
Item
Did apects of the comorbidities change since the last visit?
boolean
C0009488 (UMLS CUI [1])
medication
Item
Did the aspects of the medication change since the last visit?
boolean
C0013227 (UMLS CUI [1])
procedures
Item
Did apects of the procedures change since the last visit?
boolean
C0184661 (UMLS CUI [1])
medical history
Item
Did apects of the medical history of the family change since the last visit?
boolean
C0262926 (UMLS CUI [1])
living situation
Item
Did apects of the living situation change since the last visit?
boolean
C2184149 (UMLS CUI [1])
CL Item
Single (1)
C0037179 (UMLS CUI-1)
CL Item
Married (2)
C0555047 (UMLS CUI-1)
CL Item
Separated (3)
C0086972 (UMLS CUI-1)
CL Item
Widowed (4)
C0206275 (UMLS CUI-1)
CL Item
Divorced (5)
C0086170 (UMLS CUI-1)
CL Item
Civil partnership (6)
C1711206 (UMLS CUI-1)
CL Item
N.A. (7)
C1272460 (UMLS CUI-1)
Item
2. What is the current housing situation of the participant ?
integer
C0020056 (UMLS CUI [1])
CL Item
private household, alone (1)
CL Item
two-person household (2)
CL Item
multi-person household (3)
CL Item
retirement home/ (residential) care home for the elderly (4 )
CL Item
N.A. (5)
occupation
Item
Did aspects of the occupation status change since last visit?
boolean
C0028811 (UMLS CUI [1])
CL Item
worker (1)
CL Item
employee (2)
CL Item
civil servant (3)
CL Item
self-employed (4)
CL Item
unemployed (5)
CL Item
not working (6)
CL Item
retired (7)
CL Item
old-age pension (1)
CL Item
early retirement due to occupational disability (2)
CL Item
early retirement due to unemployability (3)
retirement since year
Item
1.2. Retirement since: (month, year)
date
C0035345 (UMLS CUI [1])
number of yrs since retirement
Item
Number of years since start of retirement
integer
years of occupation
Item
2. Number of years of occupation (so far)
integer
professional group
Item
3. Professional group (Code)
text
Item Group
Consumption of semiluxury food - nicotine
C0028040 (UMLS CUI-1)
nicotine consumption
Item
Did your nicotine comsumption change since the last visit?
boolean
C1519386 (UMLS CUI [1])
smoker
Item
1. Are you currently a smoker?
boolean
C0543414 (UMLS CUI [1])
since when smoking
Item
1.1. Since when do you smoke?
integer
C0028040 (UMLS CUI [1])
average number of cigarettes
Item
1.2. How many cigarettes do you usually smoke during a day?
integer
C0694535 (UMLS CUI [1,1])
C1510992 (UMLS CUI [1,2])
C1510992 (UMLS CUI [1,2])
pack years
Item
Pack years
integer
C1277691 (UMLS CUI [1])
Item Group
Consumption of semiluxury food - alcohol
C0001948 (UMLS CUI-1)
alcohol consumption
Item
Did your alcohol comsumption change since the last visit?
boolean
C0001948 (UMLS CUI [1])
alcohol consumption
Item
1. Do you drink alcohol?
boolean
C0001948 (UMLS CUI [1])
Item
1.1. How many alcoholic beverages do you drink on average during the week?
integer
C0001967 (UMLS CUI [1])
Code List
1.1. How many alcoholic beverages do you drink on average during the week?
CL Item
< 1 per week (1)
CL Item
1-7 (2)
CL Item
8-14 (3)
CL Item
15-21 (4)
CL Item
22-28 (5)
CL Item
29-35 (6)
CL Item
36-42 (7)
height
Item
1. Height
float
C0005890 (UMLS CUI [1])
weight
Item
2. Weight
float
C0005910 (UMLS CUI [1])
BMI
Item
Body mass index
float
C1305855 (UMLS CUI [1])
clinical phenotype
Item
Are there new aspects of the clinical phenotype since the baseline visit?
boolean
C0031437 (UMLS CUI [1])
Item Group
Clinical phenotype - Anamnesis and inspection
C0031437 (UMLS CUI-1)
CL Item
without pathological finding (without pathological finding)
CL Item
hypokinetic-rigid phenotype (hypokinetic-rigid phenotype)
CL Item
muscle tonus and strength pathological (muscle tonus and strength pathological)
CL Item
tremor and involuntary motor activity (tremor and involuntary motor activity)
CL Item
not examined (not examined)
CL Item
without pathological findings (1)
C1334932 (UMLS CUI-1)
CL Item
pathological finding (2)
C1521733 (UMLS CUI-1)
CL Item
not examined (3)
C0332129 (UMLS CUI-1)
CL Item
without pathological findings (1)
C1334932 (UMLS CUI-1)
CL Item
pathological finding (2)
C1521733 (UMLS CUI-1)
CL Item
not examined (3)
C0332129 (UMLS CUI-1)
Item
Praxia / visual respectively spatial
integer
C0871470 (UMLS CUI [1,1])
C0234621 (UMLS CUI [1,2])
C0234621 (UMLS CUI [1,2])
CL Item
without pathological findings (1)
C1334932 (UMLS CUI-1)
CL Item
pathological finding (2)
C1521733 (UMLS CUI-1)
CL Item
not examined (3)
C0332129 (UMLS CUI-1)
CL Item
without pathological findings (1)
C1334932 (UMLS CUI-1)
CL Item
pathological finding (2)
C1521733 (UMLS CUI-1)
CL Item
not examined (3)
C0332129 (UMLS CUI-1)
CL Item
without pathological findings (1)
C1334932 (UMLS CUI-1)
CL Item
pathological finding (2)
C1521733 (UMLS CUI-1)
CL Item
not examined (3)
C0332129 (UMLS CUI-1)
tonus and strength
Item
I. Examination of muscle tonus and strength performed
boolean
C0026841 (UMLS CUI [1])
C0517349 (UMLS CUI [2])
C0517349 (UMLS CUI [2])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
2. Peripheral nerve paresis, which cannot be assigned to a peripheral nerve or a nerve root.
integer
C3203709 (UMLS CUI [1])
Code List
2. Peripheral nerve paresis, which cannot be assigned to a peripheral nerve or a nerve root.
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
latent (1)
C0205275 (UMLS CUI-1)
CL Item
manifest (2)
C0205319 (UMLS CUI-1)
CL Item
mild (3)
C2945599 (UMLS CUI-1)
CL Item
severe (4)
C0205082 (UMLS CUI-1)
CL Item
not present (5)
C0332197 (UMLS CUI-1)
CL Item
not examined (6)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
latent (1)
C0205275 (UMLS CUI-1)
CL Item
manifest (2)
C0205319 (UMLS CUI-1)
CL Item
mild (3)
C2945599 (UMLS CUI-1)
CL Item
severe (4)
C0205082 (UMLS CUI-1)
CL Item
not present (5)
C0332197 (UMLS CUI-1)
CL Item
not examined (6)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
3.3. Central right leg paresis
integer
C0751410 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
CL Item
latent (1)
C0205275 (UMLS CUI-1)
CL Item
manifest (2)
C0205319 (UMLS CUI-1)
CL Item
mild (3)
C2945599 (UMLS CUI-1)
CL Item
severe (4)
C0205082 (UMLS CUI-1)
CL Item
not present (5)
C0332197 (UMLS CUI-1)
CL Item
not examined (6)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
3.4. Central left leg paresis
integer
C0751410 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
CL Item
latent (1)
C0205275 (UMLS CUI-1)
CL Item
manifest (2)
C0205319 (UMLS CUI-1)
CL Item
mild (3)
C2945599 (UMLS CUI-1)
CL Item
severe (4)
C0205082 (UMLS CUI-1)
CL Item
not present (5)
C0332197 (UMLS CUI-1)
CL Item
not examined (6)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
diminution of reflex (1)
CL Item
augmentation of reflex (2)
CL Item
no pathological finding (3)
CL Item
not examined (4)
CL Item
diminution of reflex (1)
CL Item
augmentation of reflex (2)
CL Item
no pathological finding (3)
CL Item
not examined (4)
CL Item
diminution of reflex (1)
CL Item
augmentation of reflex (2)
CL Item
no pathological finding (3)
CL Item
not examined (4)
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (0)
C0205160 (UMLS CUI-1)
CL Item
not examined (2)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
Babinski sign positive side
integer
C0034935 (UMLS CUI [1,1])
C0441987 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,2])
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
resting tremor (1)
C0234379 (UMLS CUI-1)
CL Item
action tremor (2)
C0234376 (UMLS CUI-1)
Item
6. Dyskinetic signs / dystonic signs
integer
C0439842 (UMLS CUI [1])
C0013421 (UMLS CUI [2])
C0013421 (UMLS CUI [2])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
6.1. Dyskinetic signs type
integer
C0439842 (UMLS CUI [1])
C0013421 (UMLS CUI [2])
C0013421 (UMLS CUI [2])
CL Item
oromandibular (1)
C2242577 (UMLS CUI-1)
C2677570 (UMLS CUI-2)
C2677570 (UMLS CUI-2)
CL Item
axial dystonia (2)
C1836149 (UMLS CUI-1)
CL Item
dystonia of extremities (3)
C2751157 (UMLS CUI-1)
CL Item
stratial toe (4)
CL Item
stratial hand (5)
CL Item
chorea (6)
C0008489 (UMLS CUI-1)
CL Item
tardive dyskinesia (7)
C0686347 (UMLS CUI-1)
Item
Dystonia of extremities side
integer
C2751157 (UMLS CUI [1,1])
C0441987 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,2])
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
Item
Striatal toe
integer
C0040357 (UMLS CUI [1,1])
C1847988 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,3])
C1847988 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,3])
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
Item
Striatal hand side
integer
C0018563 (UMLS CUI [1,1])
C1847988 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,3])
C1847988 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,3])
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
CL Item
pathological (1)
C1521733 (UMLS CUI-1)
CL Item
no pathological finding (2)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
Item
7.1. Stimulus responding myoclonus
integer
C3554156 (UMLS CUI [1])
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
Item
8. Hypermetria or hypometria
integer
C0234165 (UMLS CUI [1])
C3668822 (UMLS CUI [2])
C3668822 (UMLS CUI [2])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
Item
11. Cortical somatosensory disorder
integer
C0429432 (UMLS CUI [1])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
14. Clinical characteristics of gait abnormality
integer
C0575081 (UMLS CUI [1,1])
C0683325 (UMLS CUI [1,2])
C0683325 (UMLS CUI [1,2])
CL Item
hypokinetic rigid (1)
C0086439 (UMLS CUI-1)
CL Item
frontal-apractic (2)
C2237069 (UMLS CUI-1)
CL Item
spastic (3)
C0443306 (UMLS CUI-1)
CL Item
other (myopathic, atrogen, psychogen) (4)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
16. Clinical frontal lobe symptoms
integer
C0549117 (UMLS CUI [1])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
apathy (1)
C0085632 (UMLS CUI-1)
CL Item
impulse decline (2)
CL Item
language deterioration (3)
C1843793 (UMLS CUI-1)
CL Item
bulimia (4)
C0006370 (UMLS CUI-1)
CL Item
disinhibition (5)
C0234410 (UMLS CUI-1)
CL Item
aggressiveness (6)
C0001807 (UMLS CUI-1)
CL Item
tool use behaviour (7)
C1720915 (UMLS CUI-1)
CL Item
imitative behaviour (8)
C0020936 (UMLS CUI-1)
CL Item
stereotyped behaviour (9)
C0038271 (UMLS CUI-1)
CL Item
pathological laughing or crying (10)
C2316460 (UMLS CUI-1)
CL Item
other signs of disinhibition (hyperactivity, logorrhea) (11)
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (0)
C0205160 (UMLS CUI-1)
CL Item
not examined (2)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (0)
C0205160 (UMLS CUI-1)
CL Item
not examined (2)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (0)
C0205160 (UMLS CUI-1)
CL Item
not examined (2)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
buccofacial (1)
C0750928 (UMLS CUI-1)
CL Item
apraxia of extremeties (2)
C0234520 (UMLS CUI-1)
C0278454 (UMLS CUI-2)
C0278454 (UMLS CUI-2)
Item
Apraxia of extremities side
integer
C0234520 (UMLS CUI [1,1])
C0278454 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,3])
C0278454 (UMLS CUI [1,2])
C0441987 (UMLS CUI [1,3])
CL Item
right (1)
C0205090 (UMLS CUI-1)
CL Item
left (2)
C0205091 (UMLS CUI-1)
CL Item
bilateral (3)
C0238767 (UMLS CUI-1)
Item
17.2. Is there a one-sided ideomotoric apraxia present?
integer
C0234523 (UMLS CUI [1,1])
C0205092 (UMLS CUI [1,2])
C0205092 (UMLS CUI [1,2])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
17.3. Is there a constructual apraxia present?
integer
C2243023 (UMLS CUI [1])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
18. Is there a visual or sensorial hemineglect present?
integer
C0751418 (UMLS CUI [1])
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
19. Are pseudohallucinations or hallucinations reported or are these in the examination situation apparent?
integer
C0233758 (UMLS CUI [1])
C0018524 (UMLS CUI [2])
C0018524 (UMLS CUI [2])
Code List
19. Are pseudohallucinations or hallucinations reported or are these in the examination situation apparent?
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
20.1. Clinical Characterization of the speech disorder
text
C0037822 (UMLS CUI [1])
Code List
20.1. Clinical Characterization of the speech disorder
CL Item
cerebellar dysarthria (cerebellar dysarthria)
CL Item
hypokinetic (-rigid)/hypophonia (hypokinetic (-rigid)/hypophonia)
CL Item
bulbar dysarthria (bulbar dysarthria)
CL Item
spastic dysarthria (spastic dysarthria)
CL Item
inspiratory stridor (inspiratory stridor)
CL Item
freezing of speech (freezing of speech)
CL Item
other (other)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
disfluent aphasia
Item
21.1. disfluent aphasia
boolean
C0003550 (UMLS CUI [1])
semantic aphasia
Item
Semantic aphasia
boolean
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
23.1. Accadic horizontal eye movement
text
C0234649 (UMLS CUI [1])
CL Item
present (present)
CL Item
not present (not present)
CL Item
not examined (not examined)
CL Item
abortion (abortion )
CL Item
abortion of eye movement (abortion of eye movement)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
CL Item
present (1)
C0150312 (UMLS CUI-1)
CL Item
not present (2)
C0332197 (UMLS CUI-1)
CL Item
not examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
C1518422 (UMLS CUI-2)
Item
23.4.1. If present, please specify:
text
C0546194 (UMLS CUI [1])
CL Item
horizontal left (horizontal left)
CL Item
horizontal right (horizontal right)
CL Item
vertical left (vertical left)
CL Item
vertical right (vertical right)
Item
23.4.2. Occurrence of vertical gazevpalsy after first motoric symptoms
text
C0339652 (UMLS CUI [1])
Code List
23.4.2. Occurrence of vertical gazevpalsy after first motoric symptoms
CL Item
< 1 Year (< 1 Year)
CL Item
>1 Year (>1 Year)
CL Item
horizontal (horizontal)
CL Item
vertical (vertical)
CL Item
not present (not present)
CL Item
not examined (not examined)
other oculomotoric disorder and unspecific ocular symptoms
Item
23.6 Other oculomotoric disorder and unspecific ocular symptoms
text
C0028866 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1457887 (UMLS CUI [2,1])
C1299003 (UMLS CUI [2,2])
C0205394 (UMLS CUI [1,2])
C1457887 (UMLS CUI [2,1])
C1299003 (UMLS CUI [2,2])
Item
1. Progressive course of the motor deficits
text
C1335498 (UMLS CUI [1,1])
C0221163 (UMLS CUI [1,2])
C0221163 (UMLS CUI [1,2])
CL Item
slowly progressive (slowly progressive)
CL Item
rapidly progressive (rapidly progressive)
CL Item
other (in phases) (other (in phases))
CL Item
no (no)
CL Item
unknown (unknown)
Item
2. Unilateral course of motor deficits
text
C0221163 (UMLS CUI [1,1])
C0750729 (UMLS CUI [1,2])
C0205092 (UMLS CUI [1,3])
C0750729 (UMLS CUI [1,2])
C0205092 (UMLS CUI [1,3])
CL Item
>3 Years (>3 Years)
CL Item
no (no )
CL Item
unknown (unknown)
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Unknown (Unknown)
Item
3.1. How long was Levodopa taken?
text
C0023570 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
CL Item
5 Years (<)
CL Item
> 5-10 Years (> 5-10 Years)
CL Item
> 10 Years (> 10 Years)
CL Item
unknown (unknown)
CL Item
very good (70-100%) (very good (70-100%))
CL Item
moderately good (31-69%) (moderately good (31-69%))
CL Item
poor (0-30%) (poor (0-30%))
CL Item
unknown (unknown)
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Unknown (Unknown)
Item
4.1. Occurrence of falling after first motor symptoms:
text
C0085639 (UMLS CUI [1])
Code List
4.1. Occurrence of falling after first motor symptoms:
CL Item
< 1 Year (< 1 Year)
CL Item
> 3 Years (> 3 Years)
CL Item
1-3 Years (1-3 Years)
Item
5. Elevated sensibility to neuroleptics present
text
C0439823 (UMLS CUI [1,1])
C0040615 (UMLS CUI [1,2])
C0040615 (UMLS CUI [1,2])
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Unknown (Unknown)
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Unknown (Unknown)
Item Group
Montreal Cognitive Assessment (MoCA)
C3496286 (UMLS CUI-1)
visuospatial executive points
Item
Visuospatial/ Executive
integer
C2370887 (UMLS CUI [1])
C0935584 (UMLS CUI [2])
C0935584 (UMLS CUI [2])
naming points
Item
Naming
integer
C0233735 (UMLS CUI [1])
attention points
Item
Attention
integer
C0004268 (UMLS CUI [1])
language points
Item
Language
integer
C0233733 (UMLS CUI [1])
abstraction points
Item
Abstraction
integer
C0679195 (UMLS CUI [1])
memory points
Item
Memory
integer
C0025260 (UMLS CUI [1])
orientation points
Item
Orientation
integer
C0029266 (UMLS CUI [1])
total score MoCA
Item
Total score
integer
C3496286 (UMLS CUI [1])
life satisfaction
Item
1. Are you basically satisfied with your life?
boolean
C0392352 (UMLS CUI [1])
dropped activities and interests
Item
2. Have you dropped many of your activities and interests?
boolean
C3830041 (UMLS CUI [1])
empty life
Item
3. Do you feel that your life is empty?
boolean
C3830035 (UMLS CUI [1])
often bored
Item
4. Do you often get bored?
boolean
C3830021 (UMLS CUI [1])
in good spirits
Item
5. Are you in good spirits most of the time?
boolean
C3830028 (UMLS CUI [1])
afraid of bad thing happening
Item
6. Are you afraid that something bad is going to happen to you?
boolean
C3830044 (UMLS CUI [1])
happiness
Item
7. Do you feel happy most of the time?
boolean
C3830036 (UMLS CUI [1])
feeling helpless
Item
8. Do you often feel helpless?
boolean
C3830022 (UMLS CUI [1])
prefer to stay home
Item
9. Do you prefer to stay at home, rather than going out and doing new things?
boolean
C3830018 (UMLS CUI [1])
feeling more memory problems
Item
10. Do you feel you have more problems with memory than most?
boolean
C3830023 (UMLS CUI [1])
wonderful life
Item
11. Do you think it is wonderful to be alive now?
boolean
C3830000 (UMLS CUI [1])
feeling worhless
Item
12. Do you feel pretty worthless the way you are now?
boolean
C3830010 (UMLS CUI [1])
full of energy
Item
13. Do you feel full of energy?
boolean
C3830037 (UMLS CUI [1])
hopeless situation
Item
14. Do you feel that your situation is hopeless?
boolean
C3830034 (UMLS CUI [1])
most people better off
Item
15. Do you think that most people are better off than you are?
boolean
C3830001 (UMLS CUI [1])
score GDS
Item
Score GDS
integer
C0451184 (UMLS CUI [1])
blood collection
Item
Blood collection done?
boolean
C0005834 (UMLS CUI [1])
date of blood collection
Item
Date of blood collection
datetime
C0190979 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
blood collection successful
Item
Was the blood collection successful finished?
boolean
C0005834 (UMLS CUI [1,1])
C3258067 (UMLS CUI [1,2])
C3258067 (UMLS CUI [1,2])
blood collection not successful reasons
Item
If "not successful" please give reasons:
text
C0939982 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C3258067 (UMLS CUI [1,3])
C0005834 (UMLS CUI [1,2])
C3258067 (UMLS CUI [1,3])
patient empty-stomached
Item
Empty-stomached (during last 12 hrs)?
boolean
C3686898 (UMLS CUI [1])
last meal
Item
Last meal:
datetime
C0578574 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
last beverage
Item
Last beverage:
datetime
C0005329 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
last beverage with coffeine
Item
Last beverage with coffeine:
datetime
C0678438 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
tabacco consumption
Item
Tabacco smoke (during the last 12 hrs)
boolean
C0439994 (UMLS CUI [1])
last tabacco smoke
Item
Last tabacco smoke:
datetime
C0439994 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
SOP for sampling
Item
1. Sampling performed according to SOP-BM-01?
boolean
C1710183 (UMLS CUI [1,1])
C0870078 (UMLS CUI [1,2])
C0870078 (UMLS CUI [1,2])
SOP version
Item
1.1. SOP version (No.)
text
C1710183 (UMLS CUI [1])
deviations from SOP
Item
2. Any deviations from SOP-BM-01
boolean
C1710183 (UMLS CUI [1])
other vacutainer used
Item
2.1. Other vacutainer used for blood collection and not those at disposal.
boolean
C1883522 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
other vacutainer name
Item
2.1.1. other vacutainer, please specify:
text
C1883522 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
deviation from SOP version
Item
2.2. Any deviation from SOP-KA-03, Version X?
boolean
C1710183 (UMLS CUI [1])
serum with coagulation activator not done
Item
Tube-Type: Serum with coagulation activator Volume: 9 ml Unit: ml NOT DONE
boolean
C0229671 (UMLS CUI [1,1])
C0005789 (UMLS CUI [1,2])
C0005789 (UMLS CUI [1,2])
serum with coagulation activator tube code
Item
Tube-Type: Serum with coagulation activator Volume: 9 ml Unit: ml
text
C0004738 (UMLS CUI [1,1])
C0229671 (UMLS CUI [1,2])
C0005789 (UMLS CUI [1,3])
C0229671 (UMLS CUI [1,2])
C0005789 (UMLS CUI [1,3])
serum without coagulation activator not done
Item
Tube: Serum without coagulation activator Volume: 9 Unit: ml NOT DONE
boolean
C0229671 (UMLS CUI [1,1])
C0005789 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
C0005789 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
serum without coagulation activator tube code
Item
Tube: Serum without coagulation activator Volume: 9 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C0229671 (UMLS CUI [1,2])
C0005789 (UMLS CUI [1,3])
C0332197 (UMLS CUI [1,4])
C0229671 (UMLS CUI [1,2])
C0005789 (UMLS CUI [1,3])
C0332197 (UMLS CUI [1,4])
EDTA plasma not done
Item
Tube: EDTA plasma Volume: 9 Unit: ml
boolean
C3872626 (UMLS CUI [1])
EDTA plasma tube code
Item
Tube: EDTA plasma Volume: 9 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C3872626 (UMLS CUI [1,2])
C3872626 (UMLS CUI [1,2])
citrate plasma 1 not done
Item
Tube: Citrate plasma 1 Volume: 4,3 Unit: ml NOT DONE
boolean
C3875584 (UMLS CUI [1])
citrate plasma 1 tube code
Item
Tube: Citrate plasma 1 Volume: 4,3 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C3875584 (UMLS CUI [1,2])
C3875584 (UMLS CUI [1,2])
citrate plasma 2 not done
Item
Tube: Citrate plasma 2 Volume: 4,3 Unit: ml NOT DONE
boolean
C3875584 (UMLS CUI [1])
citrate plasma 2 tube code
Item
Tube: Citrate plasma 2 Volume: 4,3 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C3875584 (UMLS CUI [1,2])
C3875584 (UMLS CUI [1,2])
PAXgene RNA 1 not done
Item
Tube: PAXgene RNA 1 Volume: 2,7 Unit: ml NOT DONE
boolean
C1418273 (UMLS CUI [1])
PAXgene RNA 1 tube code
Item
Tube: PAXgene RNA 1 Volume: 2,7 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C1418273 (UMLS CUI [1,2])
C1418273 (UMLS CUI [1,2])
PAXgene RNA 2 not done
Item
Tube: PAXgene RNA2 Volume: 2,7 Unit: ml NOT DONE
boolean
C1418273 (UMLS CUI [1])
PAXgene RNA 2 tube code
Item
Tube: PAXgene RNA 2 Volume: 2,7 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C1418273 (UMLS CUI [1,2])
C1418273 (UMLS CUI [1,2])
CPT full blood not done
Item
Tube: CPT full blood Volume: 8 Unit: ml NOT DONE
boolean
CPT full blood tube code
Item
Tube: CPT full blood Volume: 8 Unit: ml
text
C0004738 (UMLS CUI [1])
CPT full blood 2 not done
Item
Tube: CPT full blood Volume: 8 Unit: ml NOT DONE
boolean
CPT full blood 2 tube code
Item
Tube: CPT full blood Volume: 8 Unit: ml
text
C0004738 (UMLS CUI [1])
collection of urine
Item
Was a collection of urine done?
boolean
C2371162 (UMLS CUI [1])
date of urine sample
Item
date of urine sample
datetime
C2371162 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
empty-stomached last 12hrs
Item
Empty-stomached (during the last 12hrs)?
boolean
C3686898 (UMLS CUI [1])
last meal
Item
Last meal:
datetime
C0578574 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
last beverage
Item
Last beverage:
datetime
C0005329 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
last coffeine beverage
Item
Last beverage with coffeine:
datetime
C0678438 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
tabacco smoke
Item
Consumption of tabacco (during last 12hrs)?
boolean
C0439994 (UMLS CUI [1])
last tabacco smoke
Item
Last tabacco consumption
datetime
C0439994 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
SOP for urine sampling
Item
1. Sampling performed according to SOP-BM-01?
boolean
C1710183 (UMLS CUI [1,1])
C0870078 (UMLS CUI [1,2])
C0870078 (UMLS CUI [1,2])
SOP version no
Item
1.1. SOP version (No.):
text
C1710183 (UMLS CUI [1])
deviations from SOP
Item
2. Any deviations from SOP-BM-01?
boolean
C1710183 (UMLS CUI [1])
other container used
Item
2.1. Other container used for urine collection and not those at disposal.
boolean
C3857171 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
other container name
Item
2.1.1. If other container used for urine sample, please specify:
text
C3857171 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
urine strips
Item
2.2. Urine strips used
boolean
C0775879 (UMLS CUI [1])
CL Item
0 (0)
CL Item
+ (1)
CL Item
++ (2)
CL Item
0 (0)
CL Item
+ (1)
CL Item
++ (2)
CL Item
0 (0)
CL Item
+ (1)
CL Item
++ (2)
CL Item
0 (0)
CL Item
+ (1)
CL Item
++ (2)
CL Item
0 (0)
CL Item
+ (1)
CL Item
++ (2)
CL Item
0 (0)
CL Item
+ (1)
CL Item
++ (2)
urine container NOT DONE
Item
Container: Urine 1 Volume: 10 Unit: ml NOT DONE
boolean
C0184230 (UMLS CUI [1])
urine container container code
Item
Container: Urine 1 Volume: 10 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C0184230 (UMLS CUI [1,2])
C0184230 (UMLS CUI [1,2])
urine container not done
Item
Container: Urine 2 Volume: 10 Unit: ml NOT DONE
boolean
C0184230 (UMLS CUI [1])
urine container code
Item
Container: Urine 2 Volume: 10 Unit: ml
text
C0004738 (UMLS CUI [1,1])
C0184230 (UMLS CUI [1,2])
C0184230 (UMLS CUI [1,2])