ID

13902

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 (1)
  1. 15.03.16 15.03.16 -
Hochgeladen am

15. März 2016

DOI

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Lizenz

Creative Commons BY-NC 3.0
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DESCRIBE (DZNE – Clinical Register Study of neurodegenerative Disorders) CRF Lumbar Puncture Baseline

Englisch

CRF Lumbar Puncture Baseline

1 Formulare  
Date of visit
Beschreibung

Date of visit

Alias
UMLS CUI-1
C1320303
Date of visit
Beschreibung

date of visit

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Study-ID:
Beschreibung

study id

Datentyp

text

Alias
UMLS CUI [1]
C2826693
Lumbar puncture
Beschreibung

Lumbar puncture

Alias
UMLS CUI-1
C0037943
Date of information about lumbar puncture
Beschreibung

Information about lumbar puncture(Thieme information sheet)

Datentyp

date

Alias
UMLS CUI [1,1]
C0588446
UMLS CUI [1,2]
C0037943
UMLS CUI [1,3]
C0011008
Was a control of coagulation performed?
Beschreibung

Coagulation control

Datentyp

boolean

Alias
UMLS CUI [1]
C0491299
Coagulation control performed:
Beschreibung

coagulation control date

Datentyp

date

Alias
UMLS CUI [1,1]
C0491299
UMLS CUI [1,2]
C0011008
PPT (Partial Thromboplastin Time)
Beschreibung

PPT

Datentyp

integer

Maßeinheiten
  • sec
Alias
UMLS CUI [1]
C1531697
sec
International Normalization Ratio (INR)
Beschreibung

INR

Datentyp

float

Alias
UMLS CUI [1]
C0525032
Count platelets:
Beschreibung

platelets count

Datentyp

integer

Maßeinheiten
  • µl
Alias
UMLS CUI [1]
C0005821
µl
Was lumbar puncture performed?
Beschreibung

Lumbar puncture

Datentyp

boolean

Alias
UMLS CUI [1]
C0037943
Date of lumbar puncture
Beschreibung

Date lumbar puncure

Datentyp

date

Alias
UMLS CUI [1,1]
C0037943
UMLS CUI [1,2]
C0011008
Was the lumbar puncture successfully completed?
Beschreibung

lumbar puncture successful

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0037943
UMLS CUI [1,2]
C3258067
If 'successfully completed' any complications?
Beschreibung

complications

Datentyp

boolean

Alias
UMLS CUI [1]
C0009566
If complications, which one?
Beschreibung

complication specification

Datentyp

text

Alias
UMLS CUI [1]
C0009566
If 'not successfully completed' please give reasons:
Beschreibung

reasons procedure not successful

Datentyp

text

Alias
UMLS CUI [1,1]
C1443309
UMLS CUI [1,2]
C0424237
Other comments
Beschreibung

other comments

Datentyp

text

Alias
UMLS CUI [1]
C1830770
Date of lumbar puncture
Beschreibung

Date of lumbar puncture

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0037943
UMLS CUI [1,2]
C0011008
Sampling
Beschreibung

Sampling

Empty-stomached (during last 12 hrs)?
Beschreibung

-> Was the participant empty-stomached in the last 12 hrs? If "no" please provide the following date and time informations about the last meal and last beverage.

Datentyp

boolean

Alias
UMLS CUI [1]
C3686898
Last meal:
Beschreibung

last meal

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0578574
UMLS CUI [1,2]
C0011008
Last beverage:
Beschreibung

except water

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0005329
UMLS CUI [1,2]
C0011008
Last beverage with coffeine:
Beschreibung

last beverage with coffeine

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0678438
UMLS CUI [1,2]
C0011008
Tabacco smoke (during the last 12 hrs)
Beschreibung

-> Did the participant consume tabacco in the last 12 hrs? If "yes", please give the following date and time information about the last tabacco consumption

Datentyp

boolean

Alias
UMLS CUI [1]
C0439994
Last tabacco smoke:
Beschreibung

last tabacco smoke

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0439994
UMLS CUI [1,2]
C0011008
1. Sampling performed according to SOP-BM-01?
Beschreibung

SOP for sampling

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1710183
UMLS CUI [1,2]
C0870078
1.1. SOP version (No.)
Beschreibung

SOP version

Datentyp

text

Alias
UMLS CUI [1]
C1710183
2. Any deviations from SOP-BM-01
Beschreibung

deviations from SOP

Datentyp

boolean

Alias
UMLS CUI [1]
C1710183
2.1. Other container used for CSF sampling and not those at disposal.
Beschreibung

other container used

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0492861
UMLS CUI [1,2]
C0205394
2.1.1. other container, please specify:
Beschreibung

other container name

Datentyp

text

Alias
UMLS CUI [1,1]
C0492861
UMLS CUI [1,2]
C0205394
2.2. Any deviation from SOP-KA-02, Version X?
Beschreibung

deviation from SOP version

Datentyp

boolean

Alias
UMLS CUI [1]
C1710183
CSF tube volume
Beschreibung

CSF tube volume

Datentyp

integer

Maßeinheiten
  • ml
Alias
UMLS CUI [1,1]
C0181696
UMLS CUI [1,2]
C0449468
ml
CSF tube barcode
Beschreibung

CSF barcode

Datentyp

text

Alias
UMLS CUI [1,1]
C0004738
UMLS CUI [1,2]
C0181696
CSF sampling NOT DONE
Beschreibung

CSF-sampling not done

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0037943
UMLS CUI [1,2]
C1272696
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Ähnliche Modelle

CRF Lumbar Puncture Baseline

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Date of visit
C1320303 (UMLS CUI-1)
date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
study id
Item
Study-ID:
text
C2826693 (UMLS CUI [1])
Item Group
Lumbar puncture
C0037943 (UMLS CUI-1)
Date information lumbar puncture
Item
Date of information about lumbar puncture
date
C0588446 (UMLS CUI [1,1])
C0037943 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
coagulation control
Item
Was a control of coagulation performed?
boolean
C0491299 (UMLS CUI [1])
coagulation control date
Item
Coagulation control performed:
date
C0491299 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
PPT
Item
PPT (Partial Thromboplastin Time)
integer
C1531697 (UMLS CUI [1])
INR
Item
International Normalization Ratio (INR)
float
C0525032 (UMLS CUI [1])
platelets count
Item
Count platelets:
integer
C0005821 (UMLS CUI [1])
lumbar puncture
Item
Was lumbar puncture performed?
boolean
C0037943 (UMLS CUI [1])
Date lumbar puncure
Item
Date of lumbar puncture
date
C0037943 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
lumbar puncture successful
Item
Was the lumbar puncture successfully completed?
boolean
C0037943 (UMLS CUI [1,1])
C3258067 (UMLS CUI [1,2])
complications
Item
If 'successfully completed' any complications?
boolean
C0009566 (UMLS CUI [1])
complication specification
Item
If complications, which one?
text
C0009566 (UMLS CUI [1])
reasons procedure not successful
Item
If 'not successfully completed' please give reasons:
text
C1443309 (UMLS CUI [1,1])
C0424237 (UMLS CUI [1,2])
other comments
Item
Other comments
text
C1830770 (UMLS CUI [1])
Date of lumbar puncture
Item
Date of lumbar puncture
datetime
C0037943 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Sampling
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])
last beverage
Item
Last beverage:
datetime
C0005329 (UMLS CUI [1,1])
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])
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])
SOP for sampling
Item
1. Sampling performed according to SOP-BM-01?
boolean
C1710183 (UMLS CUI [1,1])
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 container used
Item
2.1. Other container used for CSF sampling and not those at disposal.
boolean
C0492861 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
other container name
Item
2.1.1. other container, please specify:
text
C0492861 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
deviation from SOP version
Item
2.2. Any deviation from SOP-KA-02, Version X?
boolean
C1710183 (UMLS CUI [1])
CSF tube volume
Item
CSF tube volume
integer
C0181696 (UMLS CUI [1,1])
C0449468 (UMLS CUI [1,2])
CSF barcode
Item
CSF tube barcode
text
C0004738 (UMLS CUI [1,1])
C0181696 (UMLS CUI [1,2])
CSF-sampling not done
Item
CSF sampling NOT DONE
boolean
C0037943 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
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