Engels

Questionnaire Checklist (Sessions 1+2)

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Administrative Data
Beschrijving

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Beschrijving

Subject Identifier

Datatype

text

Alias
UMLS CUI [1]
C2348585
Date of Visit
Beschrijving

Date of Visit

Datatype

date

Alias
UMLS CUI [1]
C1320303
Type of Visit
Beschrijving

Visit

Datatype

text

Alias
UMLS CUI [1]
C0545082
Pre-Dose and 2h post-dose Questionnaires
Beschrijving

Pre-Dose and 2h post-dose Questionnaires

Alias
UMLS CUI-1
C0439565
UMLS CUI-2
C0034394
UMLS CUI-3
C0439572
Relative Time
Beschrijving

To be filled for both timepoints

Datatype

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C0034394
Has the Bond and Lader VAS been compeleted?
Beschrijving

Bond and Lader VAS

Datatype

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0026516
Has an Appetite VAS been completed?
Beschrijving

Appetite VAS

Datatype

text

Alias
UMLS CUI [1,1]
C0003618
UMLS CUI [1,2]
C3536884
Has a Distress VAS been completed?
Beschrijving

Distress VAS

Datatype

text

Alias
UMLS CUI [1,1]
C3536884
UMLS CUI [1,2]
C0231303
Has the Barnes Akathisia Scale (BAS) been completed?
Beschrijving

Barnes Akathisia Scale

Datatype

text

Alias
UMLS CUI [1]
C3541345
Has the Simpson Angus EPS Scale been completed?
Beschrijving

Simpson Angus EPS Scale

Datatype

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0041755
UMLS CUI [1,3]
C0015371
Has the Abnormal Involuntary Movement Scale (AIMS) been completed?
Beschrijving

Abnormal Involuntary Movement Scale

Datatype

text

Alias
UMLS CUI [1]
C0450978
4 and 10 h post-dose Questionnaires
Beschrijving

4 and 10 h post-dose Questionnaires

Alias
UMLS CUI-1
C0034394
UMLS CUI-2
C0439574
UMLS CUI-3
C0439568
UMLS CUI-4
C0040223
Relative Time
Beschrijving

Relative Time

Datatype

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C0034394
Has the Distress VAS been compeleted?
Beschrijving

Distress VAS

Datatype

text

Alias
UMLS CUI [1,1]
C3536884
UMLS CUI [1,2]
C0231303
5, (8), 24 hrs post-Dose questionnaires
Beschrijving

5, (8), 24 hrs post-Dose questionnaires

Alias
UMLS CUI-1
C0439568
UMLS CUI-2
C0040223
UMLS CUI-3
C0034394
Relative Time of Questionnaires
Beschrijving

At 8 hrs post-dose only neccessary if abnormal at 5 hrs post-dose. 5 and 24 hrs post-dose mandatory.

Datatype

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C0034394
Has the Barnes Akathisia Scale (BAS) been completed?
Beschrijving

"X" only if not neccessary at 8 hrs post dose.

Datatype

text

Alias
UMLS CUI [1]
C3541345
Has the Simpson Angus EPS Scale been completed?
Beschrijving

"X" only if not neccessary at 8 hrs post dose.

Datatype

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0041755
UMLS CUI [1,3]
C0015371
Has the Abnormal Involuntary Movement Scale (AIMS) been completed?
Beschrijving

"X" only if not neccessary at 8 hrs post dose.

Datatype

text

Alias
UMLS CUI [1]
C0450978
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Similar models

Questionnaire Checklist (Sessions 1+2)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item
Type of Visit
text
C0545082 (UMLS CUI [1])
Visit
Code List
Type of Visit
CL Item
Session 1 (Day 1) (Session 1 (Day 1))
CL Item
Session 2 (Day 1) (Session 2 (Day 1))
Item Group
Pre-Dose and 2h post-dose Questionnaires
C0439565 (UMLS CUI-1)
C0034394 (UMLS CUI-2)
C0439572 (UMLS CUI-3)
Item
Relative Time
text
C0439564 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
Bond and Lader VAS
Code List
Relative Time
CL Item
Pre-dose (Pre-dose)
CL Item
2h post-dose (2h post-dose)
Item
Has the Bond and Lader VAS been compeleted?
text
C0681889 (UMLS CUI [1,1])
C0026516 (UMLS CUI [1,2])
Bond and Lader VAS
Code List
Has the Bond and Lader VAS been compeleted?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has an Appetite VAS been completed?
text
C0003618 (UMLS CUI [1,1])
C3536884 (UMLS CUI [1,2])
Bond and Lader VAS
Code List
Has an Appetite VAS been completed?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has a Distress VAS been completed?
text
C3536884 (UMLS CUI [1,1])
C0231303 (UMLS CUI [1,2])
Bond and Lader VAS
Code List
Has a Distress VAS been completed?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has the Barnes Akathisia Scale (BAS) been completed?
text
C3541345 (UMLS CUI [1])
Bond and Lader VAS
Code List
Has the Barnes Akathisia Scale (BAS) been completed?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has the Simpson Angus EPS Scale been completed?
text
C0681889 (UMLS CUI [1,1])
C0041755 (UMLS CUI [1,2])
C0015371 (UMLS CUI [1,3])
Bond and Lader VAS
Code List
Has the Simpson Angus EPS Scale been completed?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has the Abnormal Involuntary Movement Scale (AIMS) been completed?
text
C0450978 (UMLS CUI [1])
Bond and Lader VAS
Code List
Has the Abnormal Involuntary Movement Scale (AIMS) been completed?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
4 and 10 h post-dose Questionnaires
C0034394 (UMLS CUI-1)
C0439574 (UMLS CUI-2)
C0439568 (UMLS CUI-3)
C0040223 (UMLS CUI-4)
Item
Relative Time
text
C0439564 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
Relative Time
Code List
Relative Time
CL Item
4 hrs post dose (4 hrs post dose)
CL Item
10 hrs post dose (10 hrs post dose)
Item
Has the Distress VAS been compeleted?
text
C3536884 (UMLS CUI [1,1])
C0231303 (UMLS CUI [1,2])
Bond and Lader VAS
Code List
Has the Distress VAS been compeleted?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
5, (8), 24 hrs post-Dose questionnaires
C0439568 (UMLS CUI-1)
C0040223 (UMLS CUI-2)
C0034394 (UMLS CUI-3)
Item
Relative Time of Questionnaires
text
C0439564 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
Relative Time
Code List
Relative Time of Questionnaires
CL Item
5 hrs post-dose (5 hrs post-dose)
CL Item
8 hrs post-dose (8 hrs post-dose)
CL Item
24 hrs post-dose (24 hrs post-dose)
Item
Has the Barnes Akathisia Scale (BAS) been completed?
text
C3541345 (UMLS CUI [1])
Bond and Lader VAS
Code List
Has the Barnes Akathisia Scale (BAS) been completed?
CL Item
Yes (Y)
(Comment:en)
CL Item
No (N)
(Comment:en)
CL Item
Not Applicable (8hrs post-dose) (X)
(Comment:en)
Item
Has the Simpson Angus EPS Scale been completed?
text
C0681889 (UMLS CUI [1,1])
C0041755 (UMLS CUI [1,2])
C0015371 (UMLS CUI [1,3])
Bond and Lader VAS
Code List
Has the Simpson Angus EPS Scale been completed?
CL Item
Yes (Y)
(Comment:en)
CL Item
No (N)
(Comment:en)
CL Item
Not Applicable (8hrs post-dose) (X)
(Comment:en)
Item
Has the Abnormal Involuntary Movement Scale (AIMS) been completed?
text
C0450978 (UMLS CUI [1])
Bond and Lader VAS
Code List
Has the Abnormal Involuntary Movement Scale (AIMS) been completed?
CL Item
Yes (Y)
(Comment:en)
CL Item
No (N)
(Comment:en)
CL Item
Not Applicable (8hrs post-dose) (X)
(Comment:en)
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