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Nerventra Study Visit 4

1 Formulare  
Demographic Information Visit 4
Beschreibung

Demographic Information Visit 4

Protocol Number
Beschreibung

Protocol Number

Datentyp

text

Alias
UMLS CUI [1,1]
C0008971
UMLS CUI [1,2]
C0600091
Visit Type
Beschreibung

i.e "Screening"

Datentyp

text

Alias
UMLS CUI [1]
C0545082
Date of visit
Beschreibung

Visit date

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Study site number
Beschreibung

Study site

Datentyp

integer

Alias
UMLS CUI [1]
C2825164
Subject number:
Beschreibung

Subject number

Datentyp

integer

Alias
UMLS CUI [1]
C1709561
Section blank?
Beschreibung

Blank

Datentyp

boolean

Alias
UMLS CUI [1]
C0750479
9-Hole Peg test Visit 4
Beschreibung

9-Hole Peg test Visit 4

9-Hole Peg Test: dominant hand
Beschreibung

Dominant hand

Datentyp

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
9-Hole Peg Test: Time dominant hand Trial 1
Beschreibung

9 hole peg test dominant hand

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
sec
9-Hole Peg Test: Time non-dominant hand Trial 1
Beschreibung

9-Hole Peg Test

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
sec
For a complete trial, record any circumstances that affected the subjects performance
Beschreibung

9-hole peg test

Datentyp

text

Alias
UMLS CUI [1]
C0451335
9-Hole Peg Test: not completed dominant hand Trial 1
Beschreibung

9-Hole Peg Test: not completed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
9-Hole Peg Test: not completed non-dominant hand Trial 1
Beschreibung

9-Hole Peg Test: not completed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
If trial was not completed, please specify physical limitations and/or other reasons
Beschreibung

9-hole peg test

Datentyp

text

Alias
UMLS CUI [1]
C0451335
9-Hole Peg Test: Time dominant hand Trial 2
Beschreibung

9 hole peg test dominant hand

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
sec
9-Hole Peg Test: Time non-dominant hand Trial 2
Beschreibung

9-Hole Peg Test

Datentyp

float

Maßeinheiten
  • sec
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
sec
For a complete trial, record any circumstances that affected the subjects performance
Beschreibung

9-hole peg test

Datentyp

text

Alias
UMLS CUI [1]
C0451335
9-Hole Peg Test: not completed dominant hand Trial 2
Beschreibung

9-Hole Peg Test: not completed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
9-Hole Peg Test: not completed non-dominant hand Trial 2
Beschreibung

9-Hole Peg Test: not completed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
If trial was not completed, please specify physical limitations and/or other reasons
Beschreibung

9-hole peg test

Datentyp

text

Alias
UMLS CUI [1]
C0451335
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Ähnliche Modelle

Nerventra Study Visit 4

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Demographic Information Visit 4
Protocol Number
Item
Protocol Number
text
C0008971 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Visit
Item
Visit Type
text
C0545082 (UMLS CUI [1])
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Study site
Item
Study site number
integer
C2825164 (UMLS CUI [1])
Subject number
Item
Subject number:
integer
C1709561 (UMLS CUI [1])
Blank
Item
Section blank?
boolean
C0750479 (UMLS CUI [1])
Item Group
9-Hole Peg test Visit 4
Item
9-Hole Peg Test: dominant hand
text
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
Dominant hand
Code List
9-Hole Peg Test: dominant hand
CL Item
right (1)
CL Item
left (2)
9 hole peg test dominant hand
Item
9-Hole Peg Test: Time dominant hand Trial 1
float
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
9-Hole Peg Test
Item
9-Hole Peg Test: Time non-dominant hand Trial 1
float
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
9-hole peg test
Item
For a complete trial, record any circumstances that affected the subjects performance
text
C0451335 (UMLS CUI [1])
Item
9-Hole Peg Test: not completed dominant hand Trial 1
integer
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
9-Hole Peg Test: not completed
Code List
9-Hole Peg Test: not completed dominant hand Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (2)
Item
9-Hole Peg Test: not completed non-dominant hand Trial 1
integer
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
9-Hole Peg Test: not completed
Code List
9-Hole Peg Test: not completed non-dominant hand Trial 1
CL Item
Unable due to physical limitations (1)
CL Item
Other (2)
9-hole peg test
Item
If trial was not completed, please specify physical limitations and/or other reasons
text
C0451335 (UMLS CUI [1])
9 hole peg test dominant hand
Item
9-Hole Peg Test: Time dominant hand Trial 2
float
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
9-Hole Peg Test
Item
9-Hole Peg Test: Time non-dominant hand Trial 2
float
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
9-hole peg test
Item
For a complete trial, record any circumstances that affected the subjects performance
text
C0451335 (UMLS CUI [1])
Item
9-Hole Peg Test: not completed dominant hand Trial 2
integer
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
9-Hole Peg Test: not completed
Code List
9-Hole Peg Test: not completed dominant hand Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (2)
Item
9-Hole Peg Test: not completed non-dominant hand Trial 2
integer
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
9-Hole Peg Test: not completed
Code List
9-Hole Peg Test: not completed non-dominant hand Trial 2
CL Item
Unable due to physical limitations (1)
CL Item
Other (2)
9-hole peg test
Item
If trial was not completed, please specify physical limitations and/or other reasons
text
C0451335 (UMLS CUI [1])
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