ID

16680

Beschreibung

NINDS Common Data Elements, Multiple Sclerosis Diagnosis and Disease Characteristics Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Link

https://www.commondataelements.ninds.nih.gov/

Stichworte

  1. 31.07.16 31.07.16 -
  2. 20.12.17 20.12.17 -
  3. 27.02.18 27.02.18 -
  4. 20.06.18 20.06.18 - Julian Varghese
Hochgeladen am

31. Juli 2016

DOI

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NINDS CDE Diagnosis and Disease Characteristics Multiple Sclerosis

Diagnosis and Disease Characteristics

Diagnosis and Disease Characteristics
Beschreibung

Diagnosis and Disease Characteristics

Alias
UMLS CUI-1
C0011900
UMLS CUI-3
C0599878
Study ID
Beschreibung

Study ID

Datentyp

integer

Alias
UMLS CUI [1]
C2826693
Study site name
Beschreibung

Study site name

Datentyp

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Beschreibung

Subject ID

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
1. What is the current diagnosis? (choose only one)
Beschreibung

current diagnosis

Datentyp

text

Alias
UMLS CUI [1]
C0011900
2. Clinical course – MS. a. Onset Course:
Beschreibung

Clinical course MS

Datentyp

text

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C0026769
b. Current Disease Course:
Beschreibung

Disease Course Multiple Sclerosis, Relapsing-Remitting

Datentyp

text

Alias
UMLS CUI [1,1]
C0242656
UMLS CUI [1,2]
C0751967
3. Clinical course – NMO Spectrum Disorder: a. Type:
Beschreibung

Clinical course Neuromyelitis Optica

Datentyp

text

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C0027873
Other, specify:
Beschreibung

Other

Datentyp

text

Alias
UMLS CUI [1]
C0205394
b. i. Optic neuritis, specify laterality:
Beschreibung

Optic neuritis

Datentyp

text

Alias
UMLS CUI [1]
C0029134
ii. Acute myelitis, specify involvement of which segments (Cervical)
Beschreibung

Acute myelitis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0270626
UMLS CUI [1,2]
C0270627
ii. Acute myelitis, specify involvement of which segments (Thoracic )
Beschreibung

Acute myelitis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0270626
UMLS CUI [1,2]
C0270627
ii. Acute myelitis, specify involvement of which segments (Lumbar )
Beschreibung

Acute myelitis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0270626
UMLS CUI [1,2]
C0270627
iii. Contiguous spinal cord lesion on MRI >3 vertebral segments
Beschreibung

spinal cord lesion MRI

Datentyp

text

Alias
UMLS CUI [1,1]
C0241224
UMLS CUI [1,2]
C0024485
c. Time between onset of first optic neuritis and first myelitis: (please specify) months
Beschreibung

optic neuritis; myelitis

Datentyp

integer

Alias
UMLS CUI [1]
C0029134
UMLS CUI [2]
C0026975
4. Clinical course – ADEM: a. Type:
Beschreibung

Clinical course ADEM

Datentyp

text

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C0014059
Other, specify:
Beschreibung

Other

Datentyp

text

Alias
UMLS CUI [1]
C0205394
b. Presence of encephalopathy (behavioural change or alteration in consciousness)
Beschreibung

encephalopathy

Datentyp

boolean

Alias
UMLS CUI [1]
C0085584
b. Improvement by clinical exam, MRI or both after acute event
Beschreibung

clinical exam of symptoms; MRI

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1456356
UMLS CUI [1,2]
C1457887
UMLS CUI [2]
C0024485
b. Multifocal lesions predominantly involving white matter
Beschreibung

Multifocal white matter lesions

Datentyp

boolean

Alias
UMLS CUI [1]
C2751845
b. New event of ADEM, 3 or more months with recurrence of the initial symptoms and signs (recurrent ADEM)
Beschreibung

ADEM

Datentyp

boolean

Alias
UMLS CUI [1]
C0014059
b. ADEM followed by a new clinical event also meeting criteria for ADEM, but involving anatomic areas of the CNS
Beschreibung

ADEM

Datentyp

boolean

Alias
UMLS CUI [1]
C0014059
5. Clinical course – Other CNS demyelinating disorder: a. Specify disorder:
Beschreibung

Clinical course CNS demyelinating disorder

Datentyp

text

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C0011302
b. Type:
Beschreibung

types Clinical course CNS demyelinating disorder

Datentyp

text

Alias
UMLS CUI [1,1]
C1114762
UMLS CUI [1,2]
C0449259
UMLS CUI [1,3]
C0011302
Other, specify:
Beschreibung

Other

Datentyp

text

Alias
UMLS CUI [1]
C0205394
6. (For MS patients ONLY) Indicate which diagnostic criteria the patient fulfills: (choose only one) RRMS:
Beschreibung

Relapsing remitting multiple sclerosis

Datentyp

text

Alias
UMLS CUI [1]
C0751967
Dissemination in space, demonstrated by
Beschreibung

Dissemination in space

Datentyp

text

Dissemination in time, demonstrated by:
Beschreibung

Dissemination in time

Datentyp

text

Dissemination in space and time, demonstrated by: For DIS: ≥ 1 T2 lesion in at least 2 of 4 MS-typical regions of the CNS (periventricular, juxtacortical, infratentorial, or spinal cord); and For DIT:
Beschreibung

Dissemination in space and time

Datentyp

text

PPMS: 1 year of disease progression (retrospectively or prospectively determined) plus 2 of 3 of the following: Evidence for DIS in the brain based on ≥ 1 T2 lesions in the MS-characteristic (periventricular, juxtacortical, or infratentorial) regions Evidence for DIS in the spinal cord based on ≥ 2 T2 lesions in the cord Positive CSF (isoelectric focusing evidence of oligoclonal bands and/or elevated IgG index)
Beschreibung

Multiple Sclerosis, Primary Progressive

Datentyp

boolean

Alias
UMLS CUI [1]
C0751964
SPMS: Initial RR disease course followed by progression with or without occasional relapses, minor remissions, and plateaus
Beschreibung

Multiple Sclerosis, Secondary Progressive

Datentyp

boolean

Alias
UMLS CUI [1]
C0751965
PRMS: Progressive disease from onset, with clear acute relapses, with or without full recovery; periods between relapses characterized by continuing progression
Beschreibung

Multiple Sclerosis, Progressive Relapsing

Datentyp

boolean

Alias
UMLS CUI [1]
C0393666
7. Onset History
Beschreibung

7. Onset History

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0277793
a. Year of first diagnosis:
Beschreibung

year of diagnosis

Datentyp

partialDate

Alias
UMLS CUI [1,1]
C0439234
UMLS CUI [1,2]
C0011900
b. Did occurrence of onset clinical event occur:
Beschreibung

disease onset

Datentyp

text

Alias
UMLS CUI [1]
C0277793
c. Indicate first onset was (choose only one):
Beschreibung

disease onset first unifocal lesion multifocal lesion

Datentyp

text

Alias
UMLS CUI [1,1]
C0277793
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C1710544
UMLS CUI [1,4]
C1334819
d. Did the patient receive treatment for clinical event?
Beschreibung

therapy

Datentyp

text

Alias
UMLS CUI [1]
C0087111
i. If Yes, indicate treatment (mention all that apply: Steroids/ Plasmapheresis/ IVig ):
Beschreibung

steroids; plasmapheresis; IVig

Datentyp

text

Alias
UMLS CUI [1]
C0038317
UMLS CUI [2]
C0032134
UMLS CUI [3]
C1293891
e. Was the patient fully recovered from this relapse within a year?
Beschreibung

disease recovery

Datentyp

text

Alias
UMLS CUI [1]
C2004454
f. onth/Year of first symptoms:
Beschreibung

year symptom first

Datentyp

partialDate

Alias
UMLS CUI [1,1]
C0439234
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205435
g. Initial symptoms: i. Vision:
Beschreibung

Initial symptoms vision

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0042789
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
Beschreibung

Initial symptoms vision site

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0042789
UMLS CUI [1,4]
C0205145
ii. Motor:
Beschreibung

Initial symptoms motor

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0026612
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
Beschreibung

Initial symptoms motor site

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0026612
UMLS CUI [1,4]
C0205145
iii. Sensory:
Beschreibung

Initial symptoms Sensory

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0445254
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
Beschreibung

Initial symptoms Sensory site

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0445254
UMLS CUI [1,4]
C0205145
iv. Coordination:
Beschreibung

Initial symptoms Coordination

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0242414
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
Beschreibung

Initial symptoms Coordination site

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0242414
UMLS CUI [1,4]
C0205145
v. Bowel/Bladder:
Beschreibung

Initial symptoms Bowel bladder

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0021853
UMLS CUI [1,4]
C0005682
vi. Fatigue:
Beschreibung

Initial symptoms Fatigue

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0015672
vii. Cognitive:
Beschreibung

Initial symptoms Cognitive

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C1516691
viii. Encephalopathy:
Beschreibung

Initial symptoms Encephalopathy

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0085584
ix. Other, specify:
Beschreibung

Initial symptoms Other

Datentyp

text

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0205394
h. Localization of clinical event: i. Optic nerve:
Beschreibung

disease site optic nerve

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0029130
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
Beschreibung

disease site optic nerve diagnostic procedure

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0029130
UMLS CUI [1,3]
C0430022
ii. Cerebrum:
Beschreibung

disease site Cerebrum

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0242202
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
Beschreibung

disease site Cerebrum diagnostic procedure

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0242202
UMLS CUI [1,3]
C0430022
iii. Brainstem/Cerebellar:
Beschreibung

disease site Cerebellar

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0007765
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
Beschreibung

disease site Cerebellar diagnostic procedure

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0007765
UMLS CUI [1,3]
C0430022
iv. Spinal cord:
Beschreibung

disease site Spinal cord

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0037925
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
Beschreibung

disease site Spinal cord diagnostic procedure

Datentyp

text

Alias
UMLS CUI [1,1]
C1290853
UMLS CUI [1,2]
C0037925
UMLS CUI [1,3]
C0430022
8. Do you have a family history of MS?
Beschreibung

family history multiple sclerosis

Datentyp

text

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0026769

Ähnliche Modelle

Diagnosis and Disease Characteristics

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Diagnosis and Disease Characteristics
C0011900 (UMLS CUI-1)
C0599878 (UMLS CUI-3)
Study ID
Item
Study ID
integer
C2826693 (UMLS CUI [1])
Study site name
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
integer
C2348585 (UMLS CUI [1])
Item
1. What is the current diagnosis? (choose only one)
text
C0011900 (UMLS CUI [1])
Code List
1. What is the current diagnosis? (choose only one)
CL Item
RIS (Radiologically Isolated Syndrome)  (1)
CL Item
RIS (Radiologically Isolated Syndrome)  (2)
CL Item
MS (Multiple Sclerosis) (Go to question 2 to specify clinical course, then skip to question 6)  (3)
CL Item
NMO (Neuromyelitis Optica) spectrum disorder (Go to question 3 to specify clinical course, then skip to  (4)
CL Item
question 7) (question 7))
CL Item
ADEM (Acute Disseminated Encephalomyelitis) (Go to question 4 to specify clinical course, then skip to  (5)
CL Item
question 7)  (question 7) )
CL Item
Other CNS demyelinating disorder (Go to question 5 to specify clinical course, then skip to question 7) (6)
Item
2. Clinical course – MS. a. Onset Course:
text
C0449259 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
Code List
2. Clinical course – MS. a. Onset Course:
CL Item
Relapsing  (1)
CL Item
Progressive (2)
Item
b. Current Disease Course:
text
C0242656 (UMLS CUI [1,1])
C0751967 (UMLS CUI [1,2])
CL Item
Relapsing remitting (1)
CL Item
Secondary progressive  (2)
CL Item
Progressive relapsing  (3)
CL Item
Primary progressive  (4)
CL Item
Uncertain (5)
Item
3. Clinical course – NMO Spectrum Disorder: a. Type:
text
C0449259 (UMLS CUI [1,1])
C0027873 (UMLS CUI [1,2])
Code List
3. Clinical course – NMO Spectrum Disorder: a. Type:
CL Item
Monophasic  (1)
CL Item
Relapsing  (2)
CL Item
Recurrent optic neuritis  (3)
CL Item
Recurrent myelitis  (4)
CL Item
Unknown  (5)
CL Item
Other (6)
Other
Item
Other, specify:
text
C0205394 (UMLS CUI [1])
Item
b. i. Optic neuritis, specify laterality:
text
C0029134 (UMLS CUI [1])
Code List
b. i. Optic neuritis, specify laterality:
CL Item
Right (1)
CL Item
Left  (2)
CL Item
Bilateral (3)
CL Item
Unknown (4)
Acute myelitis
Item
ii. Acute myelitis, specify involvement of which segments (Cervical)
boolean
C0270626 (UMLS CUI [1,1])
C0270627 (UMLS CUI [1,2])
Acute myelitis
Item
ii. Acute myelitis, specify involvement of which segments (Thoracic )
boolean
C0270626 (UMLS CUI [1,1])
C0270627 (UMLS CUI [1,2])
Acute myelitis
Item
ii. Acute myelitis, specify involvement of which segments (Lumbar )
boolean
C0270626 (UMLS CUI [1,1])
C0270627 (UMLS CUI [1,2])
Item
iii. Contiguous spinal cord lesion on MRI >3 vertebral segments
text
C0241224 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
Code List
iii. Contiguous spinal cord lesion on MRI >3 vertebral segments
CL Item
Brain MRI not meeting diagnostic criteria for MS  (1)
CL Item
NMO-IgG seropositive  (2)
CL Item
NMO-IgG seronegative  (3)
CL Item
NMO-IgG sero status unknown (4)
optic neuritis; myelitis
Item
c. Time between onset of first optic neuritis and first myelitis: (please specify) months
integer
C0029134 (UMLS CUI [1])
C0026975 (UMLS CUI [2])
Item
4. Clinical course – ADEM: a. Type:
text
C0449259 (UMLS CUI [1,1])
C0014059 (UMLS CUI [1,2])
Code List
4. Clinical course – ADEM: a. Type:
CL Item
Monophasic  (1)
CL Item
Recurrent  (2)
CL Item
Multiphasic  (3)
CL Item
Unknown  (4)
CL Item
Other (5)
Other
Item
Other, specify:
text
C0205394 (UMLS CUI [1])
encephalopathy
Item
b. Presence of encephalopathy (behavioural change or alteration in consciousness)
boolean
C0085584 (UMLS CUI [1])
clinical exam of symptoms; MRI
Item
b. Improvement by clinical exam, MRI or both after acute event
boolean
C1456356 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0024485 (UMLS CUI [2])
Multifocal white matter lesions
Item
b. Multifocal lesions predominantly involving white matter
boolean
C2751845 (UMLS CUI [1])
ADEM
Item
b. New event of ADEM, 3 or more months with recurrence of the initial symptoms and signs (recurrent ADEM)
boolean
C0014059 (UMLS CUI [1])
ADEM
Item
b. ADEM followed by a new clinical event also meeting criteria for ADEM, but involving anatomic areas of the CNS
boolean
C0014059 (UMLS CUI [1])
Clinical course CNS demyelinating disorder
Item
5. Clinical course – Other CNS demyelinating disorder: a. Specify disorder:
text
C0449259 (UMLS CUI [1,1])
C0011302 (UMLS CUI [1,2])
Item
b. Type:
text
C1114762 (UMLS CUI [1,1])
C0449259 (UMLS CUI [1,2])
C0011302 (UMLS CUI [1,3])
Code List
b. Type:
CL Item
Monophasic  (1)
CL Item
Recurrent  (2)
CL Item
Unknown (3)
CL Item
Other (4)
Other
Item
Other, specify:
text
C0205394 (UMLS CUI [1])
Item
6. (For MS patients ONLY) Indicate which diagnostic criteria the patient fulfills: (choose only one) RRMS:
text
C0751967 (UMLS CUI [1])
Code List
6. (For MS patients ONLY) Indicate which diagnostic criteria the patient fulfills: (choose only one) RRMS:
CL Item
≥ 2 attacks; objective clinical evidence of ≥ 2 lesions or objective clinical evidence of 1 lesion with reasonable historical evidence of a prior attack =reasonable historical evidence of a prior attack  (1)
CL Item
≥ 2 attacks; objective clinical evidence of 1 lesion (2)
Item
Dissemination in space, demonstrated by
text
Code List
Dissemination in space, demonstrated by
CL Item
≥ 1 T2 lesion in at least 2 of 4 MS-typical regions of the CNS (periventricular, juxtacortical, infratentorial,  (1)
CL Item
or spinal cord) (or spinal cord))
CL Item
1 attack; objective clinical evidence of ≥ 2 lesions (2)
Item
Dissemination in time, demonstrated by:
text
Code List
Dissemination in time, demonstrated by:
CL Item
Simultaneous presence of asymptomatic gadolinium-enhancing and nonenhancing lesions at any time (1)
CL Item
A new T2 and/or gadolinium-enhancing lesion(s) on follow-up MRI, irrespective of its timing with  (2)
CL Item
reference to a baseline scan (reference to a baseline scan)
CL Item
1 attack; objective clinical evidence of 1 lesion (clinically isolated syndrome) (3)
Item
Dissemination in space and time, demonstrated by: For DIS: ≥ 1 T2 lesion in at least 2 of 4 MS-typical regions of the CNS (periventricular, juxtacortical, infratentorial, or spinal cord); and For DIT:
text
Code List
Dissemination in space and time, demonstrated by: For DIS: ≥ 1 T2 lesion in at least 2 of 4 MS-typical regions of the CNS (periventricular, juxtacortical, infratentorial, or spinal cord); and For DIT:
CL Item
Simultaneous presence of asymptomatic gadolinium-enhancing and nonenhancing lesions at any time (1)
CL Item
A new T2 and/or gadolinium-enhancing lesion(s) on follow-up MRI, irrespective of its timing with  (2)
CL Item
reference to a baseline scan (reference to a baseline scan)
Multiple Sclerosis, Primary Progressive
Item
PPMS: 1 year of disease progression (retrospectively or prospectively determined) plus 2 of 3 of the following: Evidence for DIS in the brain based on ≥ 1 T2 lesions in the MS-characteristic (periventricular, juxtacortical, or infratentorial) regions Evidence for DIS in the spinal cord based on ≥ 2 T2 lesions in the cord Positive CSF (isoelectric focusing evidence of oligoclonal bands and/or elevated IgG index)
boolean
C0751964 (UMLS CUI [1])
Multiple Sclerosis, Secondary Progressive
Item
SPMS: Initial RR disease course followed by progression with or without occasional relapses, minor remissions, and plateaus
boolean
C0751965 (UMLS CUI [1])
Multiple Sclerosis, Progressive Relapsing
Item
PRMS: Progressive disease from onset, with clear acute relapses, with or without full recovery; periods between relapses characterized by continuing progression
boolean
C0393666 (UMLS CUI [1])
Item Group
7. Onset History
C0262926 (UMLS CUI-1)
C0277793 (UMLS CUI-2)
year of diagnosis
Item
a. Year of first diagnosis:
partialDate
C0439234 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
b. Did occurrence of onset clinical event occur:
text
C0277793 (UMLS CUI [1])
Code List
b. Did occurrence of onset clinical event occur:
CL Item
Within 1 month post-infection?  (1)
CL Item
Within 1 month post-vaccination?  (2)
CL Item
Neither (3)
Item
c. Indicate first onset was (choose only one):
text
C0277793 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C1710544 (UMLS CUI [1,3])
C1334819 (UMLS CUI [1,4])
Code List
c. Indicate first onset was (choose only one):
CL Item
Unifocal  (1)
CL Item
Multifocal (2)
Item
d. Did the patient receive treatment for clinical event?
text
C0087111 (UMLS CUI [1])
Code List
d. Did the patient receive treatment for clinical event?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
steroids; plasmapheresis; IVig
Item
i. If Yes, indicate treatment (mention all that apply: Steroids/ Plasmapheresis/ IVig ):
text
C0038317 (UMLS CUI [1])
C0032134 (UMLS CUI [2])
C1293891 (UMLS CUI [3])
Item
e. Was the patient fully recovered from this relapse within a year?
text
C2004454 (UMLS CUI [1])
Code List
e. Was the patient fully recovered from this relapse within a year?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
year symptom first
Item
f. onth/Year of first symptoms:
partialDate
C0439234 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205435 (UMLS CUI [1,3])
Item
g. Initial symptoms: i. Vision:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0042789 (UMLS CUI [1,3])
Code List
g. Initial symptoms: i. Vision:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Initial symptoms vision site
Item
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0042789 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Item
ii. Motor:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0026612 (UMLS CUI [1,3])
Code List
ii. Motor:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Initial symptoms motor site
Item
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0026612 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Item
iii. Sensory:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0445254 (UMLS CUI [1,3])
Code List
iii. Sensory:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Initial symptoms Sensory site
Item
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0445254 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Item
iv. Coordination:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0242414 (UMLS CUI [1,3])
Code List
iv. Coordination:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Initial symptoms Coordination site
Item
1. If Yes, specify (mention all that apply: Bilateral/ Right/ Left/ Unknown):
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0242414 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Item
v. Bowel/Bladder:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0021853 (UMLS CUI [1,3])
C0005682 (UMLS CUI [1,4])
Code List
v. Bowel/Bladder:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
vi. Fatigue:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0015672 (UMLS CUI [1,3])
Code List
vi. Fatigue:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
vii. Cognitive:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C1516691 (UMLS CUI [1,3])
Code List
vii. Cognitive:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
viii. Encephalopathy:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0085584 (UMLS CUI [1,3])
Code List
viii. Encephalopathy:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
ix. Other, specify:
text
C1457887 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
ix. Other, specify:
Item
h. Localization of clinical event: i. Optic nerve:
text
C1290853 (UMLS CUI [1,1])
C0029130 (UMLS CUI [1,2])
Code List
h. Localization of clinical event: i. Optic nerve:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
disease site optic nerve diagnostic procedure
Item
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
text
C1290853 (UMLS CUI [1,1])
C0029130 (UMLS CUI [1,2])
C0430022 (UMLS CUI [1,3])
Item
ii. Cerebrum:
text
C1290853 (UMLS CUI [1,1])
C0242202 (UMLS CUI [1,2])
Code List
ii. Cerebrum:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
disease site Cerebrum diagnostic procedure
Item
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
text
C1290853 (UMLS CUI [1,1])
C0242202 (UMLS CUI [1,2])
C0430022 (UMLS CUI [1,3])
Item
iii. Brainstem/Cerebellar:
text
C1290853 (UMLS CUI [1,1])
C0007765 (UMLS CUI [1,2])
Code List
iii. Brainstem/Cerebellar:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
disease site Cerebellar diagnostic procedure
Item
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
text
C1290853 (UMLS CUI [1,1])
C0007765 (UMLS CUI [1,2])
C0430022 (UMLS CUI [1,3])
Item
iv. Spinal cord:
text
C1290853 (UMLS CUI [1,1])
C0037925 (UMLS CUI [1,2])
Code List
iv. Spinal cord:
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
disease site Spinal cord diagnostic procedure
Item
1. If Yes, specify observation method (mention all that apply: Exam/ MRI/ History/ Unknown):
text
C1290853 (UMLS CUI [1,1])
C0037925 (UMLS CUI [1,2])
C0430022 (UMLS CUI [1,3])
Item
8. Do you have a family history of MS?
text
C0241889 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
Code List
8. Do you have a family history of MS?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)

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