Perseived deficits questionnaire CRFs Multiple Sklerosis Tysabri NCT00027300

Perceived deficits questionnaire
Beskrivning

Perceived deficits questionnaire

Alias
UMLS CUI-1
C0034394
UMLS CUI-2
C0030971
UMLS CUI-3
C2987487
During the past 4 weeks, how often did you lose your train of thought when speaking?
Beskrivning

Lose train of thought when speaking

Datatyp

integer

Alias
UMLS CUI [1]
C0086045
During the past 4 weeks, how often did you have difficulty remembering the names of people, even the ones you have met several times?
Beskrivning

Difficulty remembering the names of people, even ones you have met several times

Datatyp

integer

Alias
UMLS CUI [1]
C0561788
During the past 4 weeks, how often did you forget whar you came into the room for?
Beskrivning

Forget what you came into the room for

Datatyp

integer

Alias
UMLS CUI [1,1]
C0025260
UMLS CUI [1,2]
C0162425
During the past 4 weeks, how often did you have trouble getting things organized?
Beskrivning

Have trouble getting things organized

Datatyp

integer

Alias
UMLS CUI [1]
C1300196
During the past 4 weeks, how often did you have trouble concentrating on what people are saying during a conversation?
Beskrivning

Have trouble concentrating on what people are saying during a conversation

Datatyp

integer

Alias
UMLS CUI [1,1]
C0004268
UMLS CUI [1,2]
C0871703
During the past 4 weeks, how often did you forget if you had already done something?
Beskrivning

Forget if you had already done something

Datatyp

integer

Alias
UMLS CUI [1]
C0025260
During the past 4 weeks, how often did you miss appointments and meetings you had schedule?
Beskrivning

Miss appointments and meetings you had schedule

Datatyp

integer

Alias
UMLS CUI [1,1]
C0003630
UMLS CUI [1,2]
C0025260
During the past 4 weeks, how often did you have difficulty planning what to do in the day?
Beskrivning

Have difficulty planning what to do in the day

Datatyp

integer

Alias
UMLS CUI [1]
C0032074
During the past 4 weeks, how often did you have trouble concentrating on things like watching a television program or reading a book?
Beskrivning

Have trouble concentrating on things

Datatyp

integer

Alias
UMLS CUI [1]
C0086045
During the past 4 weeks, how often did you forget what you did the night before?
Beskrivning

Forget what you did the night before

Datatyp

integer

Alias
UMLS CUI [1]
C0025260
During the past 4 weeks, how often did you forget the date unless you looked it up?
Beskrivning

Forget date

Datatyp

integer

Alias
UMLS CUI [1,1]
C0025260
UMLS CUI [1,2]
C0011008
During the past 4 weeks, how often did you have trouble getting started, even if you had a lot of things to do?
Beskrivning

Have trouble getting started

Datatyp

integer

Alias
UMLS CUI [1]
C1845247
During the past 4 weeks, how often did you find your mind drifting?
Beskrivning

Find mind drifting

Datatyp

integer

Alias
UMLS CUI [1]
C0086045
During the past 4 weeks, how often did you forget what you talked about after a telephone conversation?
Beskrivning

Forget what you talked about

Datatyp

integer

Alias
UMLS CUI [1]
C0025260
During the past 4 weeks, how often did you forget to do things like turn off the stove or turn on your alarm clock?
Beskrivning

Forget to do things

Datatyp

integer

Alias
UMLS CUI [1]
C0025260
During the past 4 weeks, how often did you feel like your mind went totally blank?
Beskrivning

Feel like mind went totally blank

Datatyp

integer

Alias
UMLS CUI [1,1]
C0678957
UMLS CUI [1,2]
C1880497
During the past 4 weeks, how often did you have trouble holding phone numbers in your head, even for a few seconds?
Beskrivning

Have trouble holding phone numbers in head, even for a few seconds

Datatyp

integer

Alias
UMLS CUI [1]
C0025265
During the past 4 weeks, how often did you forget what you did last weekend?
Beskrivning

Forget what you did last weekend

Datatyp

integer

Alias
UMLS CUI [1]
C0025260
During the past 4 weeks, how often did you forget to take your medication?
Beskrivning

Forget taking medication

Datatyp

integer

Alias
UMLS CUI [1,1]
C0598853
UMLS CUI [1,2]
C0013227
During the past 4 weeks, how often did you have trouble making decisions?
Beskrivning

Have trouble making decisions

Datatyp

integer

Alias
UMLS CUI [1]
C0423908

Similar models

Perseived deficits questionnaire CRFs Multiple Sklerosis Tysabri NCT00027300

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Perceived deficits questionnaire
C0034394 (UMLS CUI-1)
C0030971 (UMLS CUI-2)
C2987487 (UMLS CUI-3)
Item
During the past 4 weeks, how often did you lose your train of thought when speaking?
integer
C0086045 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you lose your train of thought when speaking?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have difficulty remembering the names of people, even the ones you have met several times?
integer
C0561788 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have difficulty remembering the names of people, even the ones you have met several times?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget whar you came into the room for?
integer
C0025260 (UMLS CUI [1,1])
C0162425 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you forget whar you came into the room for?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble getting things organized?
integer
C1300196 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble getting things organized?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble concentrating on what people are saying during a conversation?
integer
C0004268 (UMLS CUI [1,1])
C0871703 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you have trouble concentrating on what people are saying during a conversation?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget if you had already done something?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget if you had already done something?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you miss appointments and meetings you had schedule?
integer
C0003630 (UMLS CUI [1,1])
C0025260 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you miss appointments and meetings you had schedule?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have difficulty planning what to do in the day?
integer
C0032074 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have difficulty planning what to do in the day?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble concentrating on things like watching a television program or reading a book?
integer
C0086045 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble concentrating on things like watching a television program or reading a book?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget what you did the night before?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget what you did the night before?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget the date unless you looked it up?
integer
C0025260 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you forget the date unless you looked it up?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble getting started, even if you had a lot of things to do?
integer
C1845247 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble getting started, even if you had a lot of things to do?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you find your mind drifting?
integer
C0086045 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you find your mind drifting?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget what you talked about after a telephone conversation?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget what you talked about after a telephone conversation?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget to do things like turn off the stove or turn on your alarm clock?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget to do things like turn off the stove or turn on your alarm clock?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you feel like your mind went totally blank?
integer
C0678957 (UMLS CUI [1,1])
C1880497 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you feel like your mind went totally blank?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble holding phone numbers in your head, even for a few seconds?
integer
C0025265 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble holding phone numbers in your head, even for a few seconds?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget what you did last weekend?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget what you did last weekend?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget to take your medication?
integer
C0598853 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you forget to take your medication?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble making decisions?
integer
C0423908 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble making decisions?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)