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ID

13902

Beskrivning

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

Länk

http://www.dzne.de/forschung/forschungsbereiche/klinische-forschung/studien/describe-bn006.html

Nyckelord

Versioner (1)
  1. 15-03-16 15-03-16 -
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15 maart 2016

DOI

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

    Engelsk

    CRF Lumbar Puncture Baseline

    1 Formulär  
    Date of visit
    Beskrivning

    Date of visit

    Alias
    UMLS CUI-1
    C1320303
    Date of visit
    Beskrivning

    date of visit

    Datatyp

    date

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

    study id

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C2826693
    Lumbar puncture
    Beskrivning

    Lumbar puncture

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

    Information about lumbar puncture(Thieme information sheet)

    Datatyp

    date

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

    Coagulation control

    Datatyp

    boolean

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

    coagulation control date

    Datatyp

    date

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

    PPT

    Datatyp

    integer

    Måttenheter
    • sec
    Alias
    UMLS CUI [1]
    C1531697
    sec
    International Normalization Ratio (INR)
    Beskrivning

    INR

    Datatyp

    float

    Alias
    UMLS CUI [1]
    C0525032
    Count platelets:
    Beskrivning

    platelets count

    Datatyp

    integer

    Måttenheter
    • µl
    Alias
    UMLS CUI [1]
    C0005821
    µl
    Was lumbar puncture performed?
    Beskrivning

    Lumbar puncture

    Datatyp

    boolean

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

    Date lumbar puncure

    Datatyp

    date

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

    lumbar puncture successful

    Datatyp

    boolean

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

    complications

    Datatyp

    boolean

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

    complication specification

    Datatyp

    text

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

    reasons procedure not successful

    Datatyp

    text

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

    other comments

    Datatyp

    text

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

    Date of lumbar puncture

    Datatyp

    datetime

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

    Sampling

    Empty-stomached (during last 12 hrs)?
    Beskrivning

    -> 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.

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C3686898
    Last meal:
    Beskrivning

    last meal

    Datatyp

    datetime

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

    except water

    Datatyp

    datetime

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

    last beverage with coffeine

    Datatyp

    datetime

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

    -> 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

    Datatyp

    boolean

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

    last tabacco smoke

    Datatyp

    datetime

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

    SOP for sampling

    Datatyp

    boolean

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

    SOP version

    Datatyp

    text

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

    deviations from SOP

    Datatyp

    boolean

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

    other container used

    Datatyp

    boolean

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

    other container name

    Datatyp

    text

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

    deviation from SOP version

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C1710183
    CSF tube volume
    Beskrivning

    CSF tube volume

    Datatyp

    integer

    Måttenheter
    • ml
    Alias
    UMLS CUI [1,1]
    C0181696
    UMLS CUI [1,2]
    C0449468
    ml
    CSF tube barcode
    Beskrivning

    CSF barcode

    Datatyp

    text

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

    CSF-sampling not done

    Datatyp

    boolean

    Alias
    UMLS CUI [1,1]
    C0037943
    UMLS CUI [1,2]
    C1272696
    Tillbaka till toppen

    Similar models

    CRF Lumbar Puncture Baseline

    1 Formulär
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    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])
    Tillbaka till toppen 

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