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Modified Hoehn And Yahr Parkinson’s Disease Staging Screening

1 forms  
MODIFIED HOEHN AND YAHR PARKINSON’S DISEASE STAGING
Description

MODIFIED HOEHN AND YAHR PARKINSON’S DISEASE STAGING

Alias
UMLS CUI-1
C3639878
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Description

Centre Number

Data type

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Date of onset of symptoms of parkinson’s disease:
Description

Date of onset

Data type

date

Alias
UMLS CUI [1]
C0574845
Indicate the patient’s baseline Hoehn & Yahr Stage by ticking the appropriate box below:
Description

Modified Hoehn and Yahr Staging

Data type

integer

Alias
UMLS CUI [1]
C3639878
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Similar models

Modified Hoehn And Yahr Parkinson’s Disease Staging Screening

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
MODIFIED HOEHN AND YAHR PARKINSON’S DISEASE STAGING
C3639878 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Date of onset
Item
Date of onset of symptoms of parkinson’s disease:
date
C0574845 (UMLS CUI [1])
Item
Indicate the patient’s baseline Hoehn & Yahr Stage by ticking the appropriate box below:
integer
C3639878 (UMLS CUI [1])
Modified Hoehn and Yahr Staging
Code List
Indicate the patient’s baseline Hoehn & Yahr Stage by ticking the appropriate box below:
CL Item
Stage 0 No signs of disease. (1)
CL Item
Stage 1 Unilateral disease. (2)
CL Item
Stage 1.5 Unilateral plus axial involvement. (3)
CL Item
Stage 2 Bilateral disease, without impairment of balance. (4)
CL Item
Stage 2.5 Mild Bilateral disease, with recovery on pull test. (5)
CL Item
Stage 3 Mild to moderate bilateral disease, some postural instability; physically independent. (6)
CL Item
Stage 4 Severe disability; still able to walk or stand unassisted. (7)
CL Item
Stage 5 Wheelchair bound or bedridden unless aided. (8)
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