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Nine Hole Peg Test CRFs Multiple Sclerosis Tysabri NCT00027300

1 forms  
Nine Hole Peg Test Dominant Hand Trial One
Description

Nine Hole Peg Test Dominant Hand Trial One

Alias
UMLS CUI-1
C0451335
UMLS CUI-2
C0449722
Time
Description

Time

Data type

float

Measurement units
  • seconds
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
seconds
For a completed trial, record any circumstances that affected the patient's performance
Description

Circumstances

Data type

text

Alias
UMLS CUI [1,1]
C1821459
UMLS CUI [1,2]
C0451335
UMLS CUI [1,3]
C0449722
If trial was not completed:
Description

Not completed

Data type

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
Specify reason if a, b or c is marked:
Description

Reason

Data type

text

Alias
UMLS CUI [1]
C0392360
Nine Hole Peg Test Dominant Hand Trial Two
Description

Nine Hole Peg Test Dominant Hand Trial Two

Alias
UMLS CUI-1
C0451335
UMLS CUI-2
C0449722
Time
Description

Time

Data type

float

Measurement units
  • seconds
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
seconds
For a completed trial, record any circumstances that affected the patient's performance:
Description

Circumstances

Data type

text

Alias
UMLS CUI [1,1]
C1821459
UMLS CUI [1,2]
C0451335
UMLS CUI [1,3]
C0449722
If trial was not completed:
Description

not completed

Data type

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0449722
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
Specify reason if a, b or c is marked:
Description

Reason

Data type

text

Alias
UMLS CUI [1]
C0392360
If two trials were completed, did it take more than two attempts to get the two successful trials?
Description

Number of attempts

Data type

boolean

Alias
UMLS CUI [1]
C3163850
If "Yes", specify reason(s) for more than two attempted trials:
Description

Reason

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C3163850
Nine Hole Peg Test Non-dominant Hand Trial One
Description

Nine Hole Peg Test Non-dominant Hand Trial One

Alias
UMLS CUI-1
C0451335
UMLS CUI-2
C0445549
Time
Description

Time

Data type

float

Measurement units
  • seconds
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
seconds
For a completed trial, record any circumstances that affected the patient's performance:
Description

Circumstances

Data type

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C1821459
If trial was not completed:
Description

Not completed

Data type

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
Specify reason if a, b or c is marked
Description

Reason

Data type

text

Alias
UMLS CUI [1]
C0392360
Nine Hole Peg Test Non-dominant Hand Trial Two
Description

Nine Hole Peg Test Non-dominant Hand Trial Two

Alias
UMLS CUI-1
C0451335
UMLS CUI-2
C0449722
Time
Description

Time

Data type

float

Measurement units
  • seconds
Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C0040223
seconds
For a completed trial, record any circumstances that affected the patient's performance:
Description

Circumstances

Data type

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C1821459
If trial was not completed:
Description

Not completed

Data type

text

Alias
UMLS CUI [1,1]
C0451335
UMLS CUI [1,2]
C0445549
UMLS CUI [1,3]
C0750480
UMLS CUI [1,4]
C2732579
Specify reason ist a, b or c is marked:
Description

Reason

Data type

text

Alias
UMLS CUI [1]
C0392360
If two trials were completed, did it take more than two attempts to get the two successful trials?
Description

Number of attempts

Data type

boolean

Alias
UMLS CUI [1]
C3163850
If "Yes", specify reason(s) for more than two attempted trials:
Description

Reason

Data type

text

Alias
UMLS CUI [1,1]
C0392360
UMLS CUI [1,2]
C3163850
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Similar models

Nine Hole Peg Test CRFs Multiple Sclerosis Tysabri NCT00027300

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Nine Hole Peg Test Dominant Hand Trial One
C0451335 (UMLS CUI-1)
C0449722 (UMLS CUI-2)
Time
Item
Time
float
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Circumstances
Item
For a completed trial, record any circumstances that affected the patient's performance
text
C1821459 (UMLS CUI [1,1])
C0451335 (UMLS CUI [1,2])
C0449722 (UMLS CUI [1,3])
Item
If trial was not completed:
text
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
completed
Code List
If trial was not completed:
CL Item
unable to complete trial due to MS-related physical limitation (a)
CL Item
unable to complete trial due to other physical limitations (b)
CL Item
other (c)
Reason
Item
Specify reason if a, b or c is marked:
text
C0392360 (UMLS CUI [1])
Item Group
Nine Hole Peg Test Dominant Hand Trial Two
C0451335 (UMLS CUI-1)
C0449722 (UMLS CUI-2)
Time
Item
Time
float
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Circumstances
Item
For a completed trial, record any circumstances that affected the patient's performance:
text
C1821459 (UMLS CUI [1,1])
C0451335 (UMLS CUI [1,2])
C0449722 (UMLS CUI [1,3])
Item
If trial was not completed:
text
C0451335 (UMLS CUI [1,1])
C0449722 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
completed
Code List
If trial was not completed:
CL Item
unable to complete trial due to MS-related physical limitation (a)
CL Item
unable to complete trial due to other physical limitations (b)
CL Item
other (c)
Reason
Item
Specify reason if a, b or c is marked:
text
C0392360 (UMLS CUI [1])
Number of attempts
Item
If two trials were completed, did it take more than two attempts to get the two successful trials?
boolean
C3163850 (UMLS CUI [1])
Reason
Item
If "Yes", specify reason(s) for more than two attempted trials:
text
C0392360 (UMLS CUI [1,1])
C3163850 (UMLS CUI [1,2])
Item Group
Nine Hole Peg Test Non-dominant Hand Trial One
C0451335 (UMLS CUI-1)
C0445549 (UMLS CUI-2)
Time
Item
Time
float
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Circumstances
Item
For a completed trial, record any circumstances that affected the patient's performance:
text
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C1821459 (UMLS CUI [1,3])
Item
If trial was not completed:
text
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
completed
Code List
If trial was not completed:
CL Item
unable to complete trial due to MS-related physical limitation (a)
CL Item
unable to complete trial due to other physical limitations (b)
CL Item
other (c)
Reason
Item
Specify reason if a, b or c is marked
text
C0392360 (UMLS CUI [1])
Item Group
Nine Hole Peg Test Non-dominant Hand Trial Two
C0451335 (UMLS CUI-1)
C0449722 (UMLS CUI-2)
Time
Item
Time
float
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C0040223 (UMLS CUI [1,4])
Circumstances
Item
For a completed trial, record any circumstances that affected the patient's performance:
text
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C1821459 (UMLS CUI [1,3])
Item
If trial was not completed:
text
C0451335 (UMLS CUI [1,1])
C0445549 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])
completed
Code List
If trial was not completed:
CL Item
unable to complete trial due to MS-related physical limitation (a)
CL Item
unable to complete trial due to other physical limitations (b)
CL Item
other (c)
Reason
Item
Specify reason ist a, b or c is marked:
text
C0392360 (UMLS CUI [1])
Number of attempts
Item
If two trials were completed, did it take more than two attempts to get the two successful trials?
boolean
C3163850 (UMLS CUI [1])
Reason
Item
If "Yes", specify reason(s) for more than two attempted trials:
text
C0392360 (UMLS CUI [1,1])
C3163850 (UMLS CUI [1,2])
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