ID

22226

Beschreibung

A Randomized, Multicenter, Double-Blind, Non-inferiority Study of Paliperidone Palmitate 3 Month and 1 Month Formulations for the Treatment of Subjects With Schizophrenia Study Source & Descriptions: https://clinicaltrials.gov/ct2/show/NCT01515423 Sponsor: Janssen Research & Development, LLC Other drug name: TREVICTA®

Link

https://clinicaltrials.gov/ct2/show/NCT01515423

Stichworte

Versionen (1)
  1. 23.05.17 23.05.17 -
Hochgeladen am

23. Mai 2017

DOI

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Lizenz

Creative Commons BY 4.0
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Follow Up - CRFs Paliperidone Palmitate Schizophrenia NCT01515423

Englisch

Follow Up - CRFs Paliperidone Palmitate Schizophrenia NCT01515423

1 Formulare  
Date of visit
Beschreibung

Date of visit

Alias
UMLS CUI-1
C1320303
Visit date
Beschreibung

Date of visit

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C1320303
dd.mm.yyyy
Clinical Global Impression - Severity
Beschreibung

Clinical Global Impression - Severity

Alias
UMLS CUI-1
C3639708
Rater´s initials
Beschreibung

Rater´s initials

Datentyp

text

Alias
UMLS CUI [1]
C3166278
Considering your total clinical experience with this particular population, how severe is the subject's psychotic disorder at this time?
Beschreibung

Clinical global impression of subject's psychotic disorder

Datentyp

integer

Alias
UMLS CUI [1]
C3698629
Resource Use Questionnaire A Hospitalisation (Post-Baseline Assessment)
Beschreibung

Resource Use Questionnaire A Hospitalisation (Post-Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C0019993
Has the subject been in hospital since previous interview? (new hospitalisations as well as continuation of a hospitalisation ongoing at last interview)
Beschreibung

Hospitalization

Datentyp

boolean

Alias
UMLS CUI [1]
C0019993
Type of hospital
Beschreibung

Type of hospital

Datentyp

integer

Alias
UMLS CUI [1]
C0019994
Type of Ward
Beschreibung

Type of Ward

Datentyp

integer

Alias
UMLS CUI [1]
C1305702
Reason
Beschreibung

Reason for hospitalization

Datentyp

integer

Alias
UMLS CUI [1]
C1830395
Hospitalization started before last interview
Beschreibung

Hospitalization started before last interview

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C1517741
UMLS CUI [1,4]
C0021822
If hospitalization started after last interview, date of beginning:
Beschreibung

hospitalization start date

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0808070
dd.mm.yyyy
Hospitalization ongoing
Beschreibung

Hospitalization ongoing

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C3174772
If hospitalization is not longer ongoing, date of end:
Beschreibung

hospitalization end date

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0806020
dd.mm.yyyy
Resource Use Questionnaire B Emergency room visits without hospitalisation (Post-Baseline Assessment)
Beschreibung

Resource Use Questionnaire B Emergency room visits without hospitalisation (Post-Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C4291935
Has the subject visited the emergency room since previous interview? (any type of ad hoc treatment at a hospital or by an emergency team without a subsequent inpatient stay)
Beschreibung

Emergency room visit

Datentyp

boolean

Alias
UMLS CUI [1,1]
C4291935
UMLS CUI [1,2]
C0545082
Date of visit
Beschreibung

Date of visit in ER

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1320303
UMLS CUI [1,2]
C4291935
Reason
Beschreibung

Reason for ER visit

Datentyp

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C4291935
UMLS CUI [1,3]
C0545082
Resource Use Questionnaire C Day clinic (Post-Baseline Assessment)
Beschreibung

Resource Use Questionnaire C Day clinic (Post-Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C3838685
Has the subject required the service of a day clinic since previous interview? (new services as well as continuation of a service ongoing since last interview)
Beschreibung

Day clinic visit

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3838685
UMLS CUI [1,2]
C0545082
Type of hospital
Beschreibung

Type of hospital

Datentyp

integer

Alias
UMLS CUI [1]
C0019994
Frequency/week (enter number of days/week)
Beschreibung

Day care clinic visits on x days/week

Datentyp

integer

Maßeinheiten
  • days/week
Alias
UMLS CUI [1,1]
C3838685
UMLS CUI [1,2]
C0545082
UMLS CUI [1,3]
C0677547
days/week
Reason
Beschreibung

Reason for day clinic visit

Datentyp

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C3838685
UMLS CUI [1,3]
C0545082
Day clinic started before last interview
Beschreibung

Day clinic started before last interview

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3838685
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C1517741
UMLS CUI [1,4]
C0021822
If day clinic started after last interview, date of beginning:
Beschreibung

Day clinic start date

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C3838685
UMLS CUI [1,2]
C0808070
dd.mm.yyyy
Day clinic ongoing
Beschreibung

Day clinic ongoing

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3838685
UMLS CUI [1,2]
C3174772
If day clinic is not longer ongoing, date of end:
Beschreibung

Day clinic end date

Datentyp

date

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C3838685
UMLS CUI [1,2]
C0806020
days
Resource Use Questionnaire D Night clinic (Post-Baseline Assessment)
Beschreibung

Resource Use Questionnaire D Night clinic (Post-Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C0240526
UMLS CUI-4
C0442592
Has the subject required the service of a night clinic since previous interview? (new services as well as continuation of a service ongoing since last interview)
Beschreibung

Night clinic visit

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0240526
UMLS CUI [1,2]
C0442592
UMLS CUI [1,3]
C0545082
Type of hospital
Beschreibung

Type of hospital

Datentyp

integer

Alias
UMLS CUI [1]
C0019994
Frequency/week (enter number of days/week)
Beschreibung

Night clinic visits on x days/week

Datentyp

integer

Maßeinheiten
  • days/week
Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0677547
UMLS CUI [1,3]
C0240526
UMLS CUI [1,4]
C0442592
days/week
Reason
Beschreibung

Reason for night clinic visit

Datentyp

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0240526
UMLS CUI [1,3]
C0442592
UMLS CUI [1,4]
C0545082
Night clinic started before last interview
Beschreibung

Night clinic started before last interview

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0240526
UMLS CUI [1,2]
C0442592
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C1517741
UMLS CUI [1,5]
C0021822
If night clinic started after last interview, date of beginning:
Beschreibung

Night clinic start date

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0240526
UMLS CUI [1,2]
C0442592
UMLS CUI [1,3]
C0808070
dd.mm.yyyy
Night clinic ongoing
Beschreibung

Night clinic ongoing

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0240526
UMLS CUI [1,2]
C0442592
UMLS CUI [1,3]
C3174772
If night clinic is not longer ongoing, date of end:
Beschreibung

Night clinic end date

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0240526
UMLS CUI [1,2]
C0442592
UMLS CUI [1,3]
C0806020
dd.mm.yyyy
Resource Use Questionnaire E Outpatient treatment (Post-Baseline Assessment)
Beschreibung

Resource Use Questionnaire E Outpatient treatment (Post-Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C0002423
Has the subject had an outpatient consultation since the previous interview? (related to the disease and/or treatment in this trial, but excluding trial visits)
Beschreibung

Outpatient consultation

Datentyp

boolean

Alias
UMLS CUI [1]
C0002423
Health professional
Beschreibung

Health professional

Datentyp

integer

Alias
UMLS CUI [1]
C1704312
If "Other", please specify:
Beschreibung

Specification health professional

Datentyp

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C1704312
Number of consultations
Beschreibung

Number of consultations

Datentyp

integer

Alias
UMLS CUI [1,1]
C1265611
UMLS CUI [1,2]
C0009818
Resource Use Questionnaire F Daily living (Baseline Assessment)
Beschreibung

Resource Use Questionnaire F Daily living (Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C0020056
Has the accommodation status of the subject changed since previous interview?
Beschreibung

Housing change

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0020056
UMLS CUI [1,2]
C0443172
Date of change
Beschreibung

Date of change of accommodation

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0020056
UMLS CUI [1,3]
C0443172
dd.mm.yyyy
New accommodation status
Beschreibung

New accommodation status

Datentyp

integer

Alias
UMLS CUI [1,1]
C0205314
UMLS CUI [1,2]
C0020056
Reason for change
Beschreibung

Reason for change of accommodation

Datentyp

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0020056
UMLS CUI [1,3]
C0443172
Resource Use Questionnaire G Productivity of subject (Baseline Assessment)
Beschreibung

Resource Use Questionnaire G Productivity of subject (Baseline Assessment)

Alias
UMLS CUI-1
C3858749
UMLS CUI-2
C0034394
UMLS CUI-3
C0557390
Has the subject's occupational status changed since previous interview?
Beschreibung

Occupational status change

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0014006
UMLS CUI [1,2]
C0443172
Date of change
Beschreibung

Date of change of occupational status

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0443172
UMLS CUI [1,3]
C0014006
dd.mm.yyyy
New occupational status
Beschreibung

New occupational status

Datentyp

integer

Alias
UMLS CUI [1,1]
C0205314
UMLS CUI [1,2]
C0014006
Reason for change
Beschreibung

Reason for change of occupational status

Datentyp

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0014006
UMLS CUI [1,3]
C0443172
If the subject is employed (full time employment, part time employment, casual employment, sheltered employment, unpaid (volunteer) work) or gainfully self-employed, did he or she lose any working days related to the disease and/or treatment under study during the last three months? (Note that lost working days due to study visits must not be included)
Beschreibung

Days off work because of mental disorder or its treatment

Datentyp

integer

Alias
UMLS CUI [1,1]
C0559457
UMLS CUI [1,2]
C0004936
If "yes", please record the number of working days lost:
Beschreibung

Specification number days off work

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0559457
UMLS CUI [1,3]
C0004936
days
If the subject is still completing an educational degree, did he/she lose any days at an educational institution related to the disease and/or treatment under study during the last three months? (Note that days at an educational institution lost due to study visits must not be included)
Beschreibung

Could not attend to educational institution because of disease or its treatment

Datentyp

integer

Alias
UMLS CUI [1,1]
C0013652
UMLS CUI [1,2]
C0559294
UMLS CUI [1,3]
C0004936
If "yes", please record the number of educational days lost:
Beschreibung

Number of educational days lost

Datentyp

integer

Maßeinheiten
  • days
Alias
UMLS CUI [1,1]
C2230086
UMLS CUI [1,2]
C0004936
days
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Follow Up - CRFs Paliperidone Palmitate Schizophrenia NCT01515423

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Date of visit
C1320303 (UMLS CUI-1)
Date of visit
Item
Visit date
date
C1320303 (UMLS CUI [1])
Item Group
Clinical Global Impression - Severity
C3639708 (UMLS CUI-1)
Rater´s initials
Item
Rater´s initials
text
C3166278 (UMLS CUI [1])
Item
Considering your total clinical experience with this particular population, how severe is the subject's psychotic disorder at this time?
integer
C3698629 (UMLS CUI [1])
Clinical global impression of subject's psychotic disorder
Code List
Considering your total clinical experience with this particular population, how severe is the subject's psychotic disorder at this time?
CL Item
normal, not at all ill (1)
CL Item
borderline mentally ill (2)
CL Item
mildly ill (3)
CL Item
moderately ill (4)
CL Item
markedly ill (5)
CL Item
severely ill (6)
CL Item
among the most extremely ill patients (7)
Item Group
Resource Use Questionnaire A Hospitalisation (Post-Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0019993 (UMLS CUI-3)
Hospitalization
Item
Has the subject been in hospital since previous interview? (new hospitalisations as well as continuation of a hospitalisation ongoing at last interview)
boolean
C0019993 (UMLS CUI [1])
Item
Type of hospital
integer
C0019994 (UMLS CUI [1])
Type of hospital
Code List
Type of hospital
CL Item
I University Hospital  (1)
CL Item
II Psychiatric/mental Hospital  (2)
CL Item
III General/regional Hospital (3)
CL Item
IV Long-term-care/rehabilitation facility  (4)
CL Item
V Other (5)
Item
Type of Ward
integer
C1305702 (UMLS CUI [1])
Type of Ward
Code List
Type of Ward
CL Item
A Psychiatry  (1)
CL Item
B General/internal medicine  (2)
CL Item
C Intensive care  (3)
CL Item
D Surgery  (4)
CL Item
E Other (5)
Item
Reason
integer
C1830395 (UMLS CUI [1])
Reason for hospitalization
Code List
Reason
CL Item
1 Management of relapse (as defined in protocol)  (1)
CL Item
2 Other psychiatric reason  (2)
CL Item
3 Social reason (e.g., caregiver away or unavailable)  (3)
CL Item
4 Other medical reason (4)
Hospitalization started before last interview
Item
Hospitalization started before last interview
boolean
C0019993 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,3])
C0021822 (UMLS CUI [1,4])
hospitalization start date
Item
If hospitalization started after last interview, date of beginning:
date
C0019993 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Hospitalization ongoing
Item
Hospitalization ongoing
boolean
C0019993 (UMLS CUI [1,1])
C3174772 (UMLS CUI [1,2])
hospitalization end date
Item
If hospitalization is not longer ongoing, date of end:
date
C0019993 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item Group
Resource Use Questionnaire B Emergency room visits without hospitalisation (Post-Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C4291935 (UMLS CUI-3)
Emergency room visit
Item
Has the subject visited the emergency room since previous interview? (any type of ad hoc treatment at a hospital or by an emergency team without a subsequent inpatient stay)
boolean
C4291935 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
Date of visit in ER
Item
Date of visit
boolean
C1320303 (UMLS CUI [1,1])
C4291935 (UMLS CUI [1,2])
Item
Reason
integer
C0566251 (UMLS CUI [1,1])
C4291935 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
Reason for ER visit
Code List
Reason
CL Item
1 Management of relapse (as defined in protocol)  (1)
CL Item
2 Other psychiatric reason  (2)
CL Item
3 Social reason (e.g., caregiver away or unavailable)  (3)
CL Item
4 Other medical reason (4)
Item Group
Resource Use Questionnaire C Day clinic (Post-Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C3838685 (UMLS CUI-3)
Day clinic visit
Item
Has the subject required the service of a day clinic since previous interview? (new services as well as continuation of a service ongoing since last interview)
boolean
C3838685 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
Item
Type of hospital
integer
C0019994 (UMLS CUI [1])
Type of hospital
Code List
Type of hospital
CL Item
I University Hospital  (1)
CL Item
II Psychiatric/mental Hospital  (2)
CL Item
III General/regional Hospital (3)
CL Item
IV Long-term-care/rehabilitation facility  (4)
CL Item
V Other (5)
Day care clinic visits on x days/week
Item
Frequency/week (enter number of days/week)
integer
C3838685 (UMLS CUI [1,1])
C0545082 (UMLS CUI [1,2])
C0677547 (UMLS CUI [1,3])
Item
Reason
integer
C0566251 (UMLS CUI [1,1])
C3838685 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
Reason for ER visit
Code List
Reason
CL Item
1 Management of relapse (as defined in protocol)  (1)
CL Item
2 Other psychiatric reason  (2)
CL Item
3 Social reason (e.g., caregiver away or unavailable)  (3)
CL Item
4 Other medical reason (4)
Day clinic started before last interview
Item
Day clinic started before last interview
boolean
C3838685 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,3])
C0021822 (UMLS CUI [1,4])
Day clinic start date
Item
If day clinic started after last interview, date of beginning:
date
C3838685 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Day clinic ongoing
Item
Day clinic ongoing
boolean
C3838685 (UMLS CUI [1,1])
C3174772 (UMLS CUI [1,2])
Day clinic end date
Item
If day clinic is not longer ongoing, date of end:
date
C3838685 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item Group
Resource Use Questionnaire D Night clinic (Post-Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0240526 (UMLS CUI-3)
C0442592 (UMLS CUI-4)
Night clinic visit
Item
Has the subject required the service of a night clinic since previous interview? (new services as well as continuation of a service ongoing since last interview)
boolean
C0240526 (UMLS CUI [1,1])
C0442592 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
Item
Type of hospital
integer
C0019994 (UMLS CUI [1])
Type of hospital
Code List
Type of hospital
CL Item
I University Hospital  (1)
CL Item
II Psychiatric/mental Hospital  (2)
CL Item
III General/regional Hospital (3)
CL Item
IV Long-term-care/rehabilitation facility  (4)
CL Item
V Other (5)
Night clinic visits on x days/week
Item
Frequency/week (enter number of days/week)
integer
C0545082 (UMLS CUI [1,1])
C0677547 (UMLS CUI [1,2])
C0240526 (UMLS CUI [1,3])
C0442592 (UMLS CUI [1,4])
Item
Reason
integer
C0566251 (UMLS CUI [1,1])
C0240526 (UMLS CUI [1,2])
C0442592 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
Reason for ER visit
Code List
Reason
CL Item
1 Management of relapse (as defined in protocol)  (1)
CL Item
2 Other psychiatric reason  (2)
CL Item
3 Social reason (e.g., caregiver away or unavailable)  (3)
CL Item
4 Other medical reason (4)
Night clinic started before last interview
Item
Night clinic started before last interview
boolean
C0240526 (UMLS CUI [1,1])
C0442592 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C1517741 (UMLS CUI [1,4])
C0021822 (UMLS CUI [1,5])
Night clinic start date
Item
If night clinic started after last interview, date of beginning:
date
C0240526 (UMLS CUI [1,1])
C0442592 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Night clinic ongoing
Item
Night clinic ongoing
boolean
C0240526 (UMLS CUI [1,1])
C0442592 (UMLS CUI [1,2])
C3174772 (UMLS CUI [1,3])
Night clinic end date
Item
If night clinic is not longer ongoing, date of end:
date
C0240526 (UMLS CUI [1,1])
C0442592 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Item Group
Resource Use Questionnaire E Outpatient treatment (Post-Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0002423 (UMLS CUI-3)
Outpatient consultation
Item
Has the subject had an outpatient consultation since the previous interview? (related to the disease and/or treatment in this trial, but excluding trial visits)
boolean
C0002423 (UMLS CUI [1])
Item
Health professional
integer
C1704312 (UMLS CUI [1])
Health professional
Code List
Health professional
CL Item
Psychiatrist or neurologist (please exclude trial visits)  (1)
CL Item
Psychologist (2)
CL Item
Psychiatric nurse (3)
CL Item
General practitioner (4)
CL Item
Social worker (5)
CL Item
Therapist (e.g., psycho-, physio-, occupational)  (6)
CL Item
Other (7)
Specification health professional
Item
If "Other", please specify:
text
C2348235 (UMLS CUI [1,1])
C1704312 (UMLS CUI [1,2])
Number of consultations
Item
Number of consultations
integer
C1265611 (UMLS CUI [1,1])
C0009818 (UMLS CUI [1,2])
Item Group
Resource Use Questionnaire F Daily living (Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0020056 (UMLS CUI-3)
Housing change
Item
Has the accommodation status of the subject changed since previous interview?
boolean
C0020056 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Date of change of accommodation
Item
Date of change
date
C0011008 (UMLS CUI [1,1])
C0020056 (UMLS CUI [1,2])
C0443172 (UMLS CUI [1,3])
Item
New accommodation status
integer
C0205314 (UMLS CUI [1,1])
C0020056 (UMLS CUI [1,2])
New accommodation status
Code List
New accommodation status
CL Item
A At home, alone (1)
CL Item
B At home, with family or friends  (2)
CL Item
C Homeless (3)
CL Item
D Psychiatric institution (4)
CL Item
E Sheltered living (5)
CL Item
F Prison (6)
CL Item
G Other (7)
Item
Reason for change
integer
C0566251 (UMLS CUI [1,1])
C0020056 (UMLS CUI [1,2])
C0443172 (UMLS CUI [1,3])
Reason for change of accommodation
Code List
Reason for change
CL Item
1 Deterioration of psychiatric condition  (1)
CL Item
2 Social reason (e.g., caregiver away or unavailable)  (2)
CL Item
3 Other medical reason (3)
CL Item
4 Improvement psychiatric condition  (4)
CL Item
5 Other (5)
Item Group
Resource Use Questionnaire G Productivity of subject (Baseline Assessment)
C3858749 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0557390 (UMLS CUI-3)
Occupational status change
Item
Has the subject's occupational status changed since previous interview?
boolean
C0014006 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
Date of change of occupational status
Item
Date of change
date
C0011008 (UMLS CUI [1,1])
C0443172 (UMLS CUI [1,2])
C0014006 (UMLS CUI [1,3])
Item
New occupational status
integer
C0205314 (UMLS CUI [1,1])
C0014006 (UMLS CUI [1,2])
New occupational status
Code List
New occupational status
CL Item
A Full time employment or gainful self-employment  (1)
CL Item
B Part time employment (2)
CL Item
C Casual employment (3)
CL Item
D Sheltered work (4)
CL Item
E Unemployed, but seeking work (5)
CL Item
F Unpaid work (e.g. volunteero work)  (6)
CL Item
G Unemployed, but not seeking work  (7)
CL Item
H Retired (8)
CL Item
I Housewife or dependent husband  (9)
CL Item
J Student (10)
Item
Reason for change
integer
C0566251 (UMLS CUI [1,1])
C0014006 (UMLS CUI [1,2])
C0443172 (UMLS CUI [1,3])
Reason for change of occupational status
Code List
Reason for change
CL Item
1 Deterioration of psychiatric disease  (1)
CL Item
2 Improvement of psychiatric condition  (2)
CL Item
3 Other (3)
Item
If the subject is employed (full time employment, part time employment, casual employment, sheltered employment, unpaid (volunteer) work) or gainfully self-employed, did he or she lose any working days related to the disease and/or treatment under study during the last three months? (Note that lost working days due to study visits must not be included)
integer
C0559457 (UMLS CUI [1,1])
C0004936 (UMLS CUI [1,2])
Days off work because of mental disorder or its treatment
Code List
If the subject is employed (full time employment, part time employment, casual employment, sheltered employment, unpaid (volunteer) work) or gainfully self-employed, did he or she lose any working days related to the disease and/or treatment under study during the last three months? (Note that lost working days due to study visits must not be included)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not applicable (3)
Specification number days off work
Item
If "yes", please record the number of working days lost:
integer
C2348235 (UMLS CUI [1,1])
C0559457 (UMLS CUI [1,2])
C0004936 (UMLS CUI [1,3])
Item
If the subject is still completing an educational degree, did he/she lose any days at an educational institution related to the disease and/or treatment under study during the last three months? (Note that days at an educational institution lost due to study visits must not be included)
integer
C0013652 (UMLS CUI [1,1])
C0559294 (UMLS CUI [1,2])
C0004936 (UMLS CUI [1,3])
Could not attend to educational institution because of disease or its treatment
Code List
If the subject is still completing an educational degree, did he/she lose any days at an educational institution related to the disease and/or treatment under study during the last three months? (Note that days at an educational institution lost due to study visits must not be included)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not applicable (3)
Number of educational days lost
Item
If "yes", please record the number of educational days lost:
integer
C2230086 (UMLS CUI [1,1])
C0004936 (UMLS CUI [1,2])
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