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MoCA GSK study Chronic Coronary Heart Disease NCT00799903

1 forms  
MoCA General information
Description

MoCA General information

1. Date of visit/assessment
Description

Date of visit/assessment

Data type

date

Alias
UMLS CUI [1]
C1320303
Informed consent
Description

Informed consent

Data type

text

Alias
UMLS CUI [1]
C0021430
MoCA Eligibility Question
Description

MoCA Eligibility Question

1. Did subject meet all MoCA eligibility criteria?
Description

MoCA eligibility criteria met

Data type

text

Alias
UMLS CUI [1]
C1516637
[I51] 1. Availability of an approved translation
Description

Inclusion criterion

Data type

boolean

Alias
UMLS CUI [1]
C2348563
[I52] 2. Signed written informed consent prior to assessing the MoCA. Note: Consent to participate in the MoCA assessment is seperate from consent to participate in the parent study.
Description

Inclusion criterion

Data type

boolean

Alias
UMLS CUI [1]
C0021430
[E51] 1. Inability to complete all items on the MoCA due to physical limitation(s)
Description

Exclusion criterion

Data type

boolean

Alias
UMLS CUI [1,1]
C0026606
UMLS CUI [1,2]
C0449295
Montreal Cognitive Assessment
Description

Montreal Cognitive Assessment

MoCA Status
Description

MoCA Status

Data type

text

Alias
UMLS CUI [1]
C3496286
Montreal Cognitive Assessment (MoCA)
Description

Montreal Cognitive Assessment (MoCA)

Data type

text

Alias
UMLS CUI [1]
C3496286
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Similar models

MoCA GSK study Chronic Coronary Heart Disease NCT00799903

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
MoCA General information
Date of visit/assessment
Item
1. Date of visit/assessment
date
C1320303 (UMLS CUI [1])
Informed consent
Item
Informed consent
text
C0021430 (UMLS CUI [1])
Item Group
MoCA Eligibility Question
Item
1. Did subject meet all MoCA eligibility criteria?
text
C1516637 (UMLS CUI [1])
MoCA eligibility criteria met
Code List
1. Did subject meet all MoCA eligibility criteria?
CL Item
Yes (Y)
CL Item
No, please select all boxes corresponding to the criteria that were not met (N)
Availability of an approved translation
Item
[I51] 1. Availability of an approved translation
boolean
C2348563 (UMLS CUI [1])
informed consent
Item
[I52] 2. Signed written informed consent prior to assessing the MoCA. Note: Consent to participate in the MoCA assessment is seperate from consent to participate in the parent study.
boolean
C0021430 (UMLS CUI [1])
physical limitation
Item
[E51] 1. Inability to complete all items on the MoCA due to physical limitation(s)
boolean
C0026606 (UMLS CUI [1,1])
C0449295 (UMLS CUI [1,2])
Item Group
Montreal Cognitive Assessment
MoCA Status
Item
MoCA Status
text
C3496286 (UMLS CUI [1])
Montreal Cognitive Assessment (MoCA)
Item
Montreal Cognitive Assessment (MoCA)
text
C3496286 (UMLS CUI [1])
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